Individual provider Active NPI

Ira G Hartman, ANP

  • Adult Health Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1093879207
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0000012361 Issued in TN
Practice address
111 Ussery Rd
Clarksville, TN 37043-4530
Phone
(615) 673-6737
Fax
(800) 474-4039
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN0000012361 TN Primary

Addresses

Primary practice location

111 Ussery Rd
Clarksville, TN 37043-4530

Mailing address

1026 Dawson Rd
White Bluff, TN 37187-4206
Phone (615) 797-9799

Other practice location 1

73 White Bridge Rd # 103-243
Nashville, TN 37205-1444
Phone (615) 372-3451

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12361TNMDGeneral Practice Dentistry
APN0000012361TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Care Past Accepting new patients

Organizations & group practices 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1093879207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 DAWSON RD",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371874206",
            "telephone_number": "615-797-9799",
            "fax_number": "615-372-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 USSERY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434530",
            "telephone_number": "615-673-6737",
            "fax_number": "800-474-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 White Bridge Rd # 103-243",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372051444",
            "country_code": "US",
            "telephone_number": "615-372-3451",
            "fax_number": "615-372-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "IRA",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000012361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.