Individual provider Active NPI

Edward Dennis, APRN

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1184711202
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
10502 Issued in TN
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

Updated by the provider on May 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3642742MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060302000326 TN Practitioner - Nurse Practitioner 1052327889 Reassigns benefits to 1 organization
I20240621000202 KY Practitioner - Nurse Practitioner 1052327889 Reassigns benefits to 1 organization

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
Nephrology Associates, PCGroup PAC ID 0840282000, 40 clinicians

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

LicenseStateTypeSpecialty
10502TNMDGeneral Practice Dentistry
APN10502TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Acute Care CurrentSince Aug 21, 2017 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

Verify at the official NPI Registry.