Active NPI
Dermal Dynamics
- Nurse Practitioner
- Gallatin, TN
National Provider Identifier
1043122153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DERMAL DYNAMICS
- Practice address
- 155 Grandstand Blvd
Gallatin, TN 37066-4600 - Phone
- (865) 661-3332
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Pepper Hensley, FNP
- Title
- Owner/Nurse Practitioner
- Phone
- (865) 661-3332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
155 Grandstand Blvd
Gallatin, TN 37066-4600
Mailing address
155 Grandstand Blvd
Gallatin, TN 37066-4600
Phone (865) 661-3332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1043122153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 GRANDSTAND BLVD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370664600",
"telephone_number": "865-661-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 GRANDSTAND BLVD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370664600",
"telephone_number": "865-661-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMAL DYNAMICS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "HENSLEY",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "PEPPER",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "865-661-3332",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.