Individual provider Active NPI

Jill C Fichtel, MD

  • Dermatology Physician
  • Franklin, TN
National Provider Identifier
1154323749
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD39348 Issued in TN
Practice address
1909 Mallory LN Ste 302
Franklin, TN 37067-2843
Phone
(615) 905-4994
Fax
(615) 224-6950
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.122022 OH
Dermatology Physician 207N00000X MD39348 TN Primary

Addresses

Primary practice location

1909 Mallory LN Ste 302
Franklin, TN 37067-2843

Mailing address

1909 Mallory LN Ste 302
Franklin, TN 37067-2843
Phone (615) 905-4994

Other names 1

  • Jill Crowell Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD39348TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fichtel Dermatology PLLC Dermatology Current Accepting new patients

Locations

1909 Mallory Ln
Ste 302
Franklin, TN 37067
Phone (615) 771-3033

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1154323749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672843",
            "telephone_number": "615-905-4994",
            "fax_number": "615-224-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672843",
            "telephone_number": "615-905-4994",
            "fax_number": "615-224-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHTEL",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.122022",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD39348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CROWELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.