Individual provider Active NPI

Julie Lorene Vanderpool, MSN, ACNP

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1184989154
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
16787 Issued in TN
Practice address
3443 Dickerson Pike
Suite 750
Nashville, TN 37207-2519
Phone
(615) 868-1064
Fax
(615) 865-9567
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 16787 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike
Suite 750
Nashville, TN 37207-2519

Mailing address

3443 Dickerson Pike
Suite 750
Nashville, TN 37207-2519
Phone (615) 868-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000214 TN Practitioner - Nurse Practitioner 2769639368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
16787TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Nov 1, 2015 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Nov 1, 2015 Accepting new patients

Locations

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

3443 Dickerson Pike
Ste 750
Nashville, TN 37207
Phone (615) 868-1064

Interoperability endpoints

  • Direct secure messaging: julie.vanderpool@stmg.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1184989154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "SUITE 750",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-868-1064",
            "fax_number": "615-865-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "SUITE 750",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-868-1064",
            "fax_number": "615-865-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "JULIE",
        "middle_name": "LORENE",
        "credential": "MSN, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "16787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.