Individual provider Active NPI

Denise F Stuart, M.D.

  • Pediatrics Physician
  • Hendersonville, TN
National Provider Identifier
1306848486
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD41251 Issued in TN
Practice address
262 New Shackle Island Rd
Suite 203
Hendersonville, TN 37075-2489
Phone
(615) 824-1142
Fax
(615) 264-3635
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD41251 TN Primary

Addresses

Primary practice location

262 New Shackle Island Rd
Suite 203
Hendersonville, TN 37075-2489

Mailing address

648 Hartsville Pike
Gallatin, TN 37066-2523
Phone (615) 451-9246

Other identifiers 2

IdentifierTypeStateIssuer
3833519OtherTNMEDICARE
1503276MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address denise.stuart@vipms.eclinicaldirectplus.com

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD41251TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendersonville Hospital Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: denise.stuart@vipms.eclinicaldirectplus.com

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1306848486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662523",
            "telephone_number": "615-451-9246",
            "fax_number": "615-575-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 203",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752489",
            "telephone_number": "615-824-1142",
            "fax_number": "615-264-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "DENISE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD41251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3833519",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503276",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denise.stuart@vipms.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "262 New Shackle Island Rd",
            "address_2": "Suite 203",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.