Individual provider Active NPI

Dawn Marie Deespino, RN

  • Infusion Therapy Registered Nurse
  • Centerville, TN
National Provider Identifier
1245742840
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
0000096072 Issued in TN
Practice address
7815 Pine Dr
Centerville, TN 37033-1149
Phone
(931) 994-3163
NPI assigned
Nov 4, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 0000096072 TN Primary

Addresses

Primary practice location

7815 Pine Dr
Centerville, TN 37033-1149

Mailing address

7815 Pine Dr
Centerville, TN 37033-1149
Phone (931) 729-4307

Other practice location 1

6521 Breckenridge Cv
Columbia, TN 38401-7934
Phone (931) 994-3163

Other practice location 2

1347 Mapleash Ave
Columbia,, TN 38401
Phone (931) 994-3163

Other names 1

  • Ms. Dawn Marie Moss 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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0000096072TNMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245742840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 PINE DR",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331149",
            "telephone_number": "931-729-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 PINE DR",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331149",
            "telephone_number": "931-994-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6521 Breckenridge Cv",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384017934",
            "country_code": "US",
            "telephone_number": "931-994-3163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1347 Mapleash Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia,",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-994-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEESPINO",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "TN",
            "license": "0000096072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MOSS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Centerville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.