James T Ettien

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41425 Issued in TN

Practice address

397 Wallace Rd
Suite C414
Nashville, TN 37211-8022

Phone

(615) 781-9499

Fax

(615) 781-3882

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1275629966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUITE C414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118022",
            "telephone_number": "615-781-9499",
            "fax_number": "615-781-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUITE C414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118022",
            "telephone_number": "615-781-9499",
            "fax_number": "615-781-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTIEN",
        "first_name": "JAMES",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "41425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3833106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Estridge
• Olumuyiwa Abolade Esuruoso, M.D.
• Katherine Nicole Etchart
• Elizabeth Ethridge, SLP-CCC
• Michele R Etling, M.D.
• Bright Ogochukwu Etumuse, MD
• Kimberly Lorraine Stakes Eul, APRN
• Brittany Eurton, M. ED.
• Stephanie Karen Eusebio, DPT
• Alexandria Evans, DDS

• Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.