Active NPI
David Edmund Roesler Sr., NP
- Adult Health Nurse Practitioner
- Smyrna, TN
National Provider Identifier
1154516524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 130375
- Practice address
- 983 Nissan Dr
Smyrna, TN 37167-4405 - Phone
- (615) 459-1944
- Fax
- (615) 459-1898
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 130375 | TN | Primary |
Addresses
Primary practice location
983 Nissan Dr
Smyrna, TN 37167-4405
Mailing address
10009 Roanoke Dr
Murfreesboro, TN 37129-7823
Phone (615) 849-9563
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130375 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Health Services | Past | Accepting new patients | |
| CHS Medical | Past | Accepting new patients |
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.
-
- Occupational Medicine Clinic/Center
- Smyrna, TN
- NPI 1659574077
-
- Clinic/Center
- Smyrna, TN
- NPI 1780879965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1154516524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10009 ROANOKE DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371297823",
"telephone_number": "615-849-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 NISSAN DR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371674405",
"telephone_number": "615-459-1944",
"fax_number": "615-459-1898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESLER",
"first_name": "DAVID",
"middle_name": "EDMUND",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "130375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.