Active NPI
Edward Dennis, APRN
- Acute Care Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 10502
- Practice address
- 28 White Bridge Rd
Ste. 300
Nashville, TN 37205-1499 - Phone
- (615) 356-4111
- Fax
- (615) 356-8011
- NPI assigned
- Oct 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN10502 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 10502 | TN | Primary |
Addresses
Primary practice location
28 White Bridge Rd
Ste. 300
Nashville, TN 37205-1499
Mailing address
28 White Bridge Rd
Ste. 300
Nashville, TN 37205-1499
Phone (615) 356-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3642742 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
408 42ND Ave N
Suite 300
Nashville, TN 37209-3669
Phone (615) 356-4111
854 W James Campbell Blvd
Suite 101a
Columbia, TN 38401-4671
Phone (931) 388-3209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10502 | TN | MD | General Practice Dentistry |
| APN10502 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Acute Care | Current | Accepting new patients |
Locations
1717 High St
Ste 2A
Hopkinsville, KY 42240
Phone (270) 874-2107
1020 Waterfall Ct
Madisonville, KY 42431
Phone (270) 825-3792
2319 Rudolphtown Rd
Ste A
Clarksville, TN 37043
Phone (931) 444-5610
854 W James M Campbell Blvd
Ste 101A
Columbia, TN 38401
Phone (931) 388-3209
201 Rosa Helm Way
Franklin, TN 37067
Phone (615) 721-5141
28 White Bridge Pike
Ste 300
Nashville, TN 37205
Phone (615) 356-4111
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": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1184711202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WHITE BRIDGE RD",
"address_2": "STE. 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372051499",
"telephone_number": "615-356-4111",
"fax_number": "615-356-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WHITE BRIDGE RD",
"address_2": "STE. 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372051499",
"telephone_number": "615-356-4111",
"fax_number": "615-356-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "EDWARD",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN10502",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "10502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3642742",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.