Individual provider Active NPI

Jennifer Emily Bellido, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1083123780
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26378 Issued in TN
Practice address
1015 N Highland Ave
Murfreesboro, TN 37130-2450
Phone
(615) 396-6472
Fax
(615) 396-6625
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 217473 TN
Adult Health Nurse Practitioner 363LA2200X 26NJ00778100 NJ
Adult Health Nurse Practitioner 363LA2200X 26378 TN Primary

Addresses

Primary practice location

1015 N Highland Ave
Murfreesboro, TN 37130-2450

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4088

Other practice location 1

433 60th St
West New York, NJ 07093-2211
Phone (201) 770-9995

Other practice location 2

433 60th St
West New York, NJ 07093-2211
Phone (201) 770-9995

Other practice location 3

207 W Locust St
Lafayette, TN 37083
Phone (615) 666-6425

Other practice location 4

1020 N Highland Ave Ste A
Murfreesboro, TN 37130-2494
Phone (615) 396-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000520 TN Practitioner - Nurse Practitioner 2567725146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1015 N Highland St
Murfreesboro, TN 37130
Phone (615) 895-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
217473TNMDRegistered Nurse
26NJ00778100NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Jun 28, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jun 28, 2022 Accepting new patients

Locations

1020 N Highland Ave
Ste A
Murfreesboro, TN 37130
Phone (615) 396-6620

1015 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 396-6620

1020 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 396-6620

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

300 20th Ave N
Fl 9
Nashville, TN 37203

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1083123780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302450",
            "telephone_number": "615-396-6472",
            "fax_number": "615-396-6625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 60th St",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070932211",
            "country_code": "US",
            "telephone_number": "201-770-9995",
            "fax_number": "201-770-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 60th St",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070932211",
            "country_code": "US",
            "telephone_number": "201-770-9995",
            "fax_number": "201-770-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Locust St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "37083",
            "country_code": "US",
            "telephone_number": "615-666-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 N Highland Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302494",
            "country_code": "US",
            "telephone_number": "615-396-6620",
            "fax_number": "615-396-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLIDO",
        "first_name": "JENNIFER",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "217473",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00778100",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "26378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.