Active NPI
Daniel Lee Tyree
- Adult Health Nurse Practitioner
- Lebanon, TN
National Provider Identifier
1295604536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 35797
- Practice address
- 1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510 - Phone
- (615) 444-4126
- Fax
- (855) 785-2890
- NPI assigned
- Nov 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 35797 | TN | Primary |
Addresses
Primary practice location
1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510
Mailing address
1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510
Phone (615) 444-4126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35797 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradshaw Medical Clinic, PC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGIAD
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": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1295604536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 W BADDOUR PKWY STE 240",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871510",
"telephone_number": "615-444-4126",
"fax_number": "855-785-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 W BADDOUR PKWY STE 240",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871510",
"telephone_number": "615-444-4126",
"fax_number": "855-785-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "DANIEL",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "35797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.