Active NPI
Anna Katrina Manneschmidt, MD
- Pediatrics Physician
- Hermitage, TN
National Provider Identifier
1063900728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 63703
- Practice address
- 3786 Central Pike Ste 130
Hermitage, TN 37076-3498 - Phone
- (615) 883-2200
- Fax
- (615) 883-1104
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 63703 | TN | Primary |
Addresses
Primary practice location
3786 Central Pike Ste 130
Hermitage, TN 37076-3498
Mailing address
3786 Central Pike Ste 130
Hermitage, TN 37076-3498
Phone (615) 883-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63703 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group | Pediatrics | Current | Accepting new patients |
| Smoketown Family Wellness Center Corp | Pediatrics | Past | Accepting new patients |
Locations
3786 Central Pike
Ste 130
Hermitage, TN 37076
Phone (615) 883-2200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hermitage, TN
- NPI 1760456065
-
- Pediatrics Physician
- Louisville, KY
- NPI 1184145815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1063900728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3786 CENTRAL PIKE STE 130",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370763498",
"telephone_number": "615-883-2200",
"fax_number": "615-883-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3786 CENTRAL PIKE STE 130",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370763498",
"telephone_number": "615-883-2200",
"fax_number": "615-883-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNESCHMIDT",
"first_name": "ANNA",
"middle_name": "KATRINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "63703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.