Individual provider Active NPI

Jennifer Crone Pagoaga, APN

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1346752250
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19377 Issued in TN
Practice address
2323 21St Ave S FL 3
Nashville, TN 37212-4930
Phone
(615) 673-6737
Fax
(800) 474-4039
NPI assigned
Nov 1, 2017
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19377 TN Primary

Addresses

Primary practice location

2323 21St Ave S FL 3
Nashville, TN 37212-4930

Mailing address

73 White Bridge Rd Ste 103-243
Nashville, TN 37205-1444
Phone (615) 673-6737

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

State licenses

LicenseStateTypeSpecialty
19377TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1346752250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WHITE BRIDGE RD STE 103-243",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051444",
            "telephone_number": "615-673-6737",
            "fax_number": "800-474-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "615-673-6737",
            "fax_number": "800-474-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGOAGA",
        "first_name": "JENNIFER",
        "middle_name": "CRONE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.