Dawn A Glenn, NP
Individual provider Active NPI Family Nurse Practitioner · Centerville, TN
NPI 1366474298 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1366474298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 8009 (TN)
- Practice address
- 150 E Swan St
Centerville, TN 37033-1446 - Phone
- (931) 729-3091
- Fax
- (931) 729-0174
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Thomas Hickman Hospital
Practice addresses (Care Compare)
150 E Swan St
Centerville, TN 37033-1446
Phone (931) 729-3091
Hospital & facility affiliations
- Saint Thomas Home Health
- Home Care Solutions
- Amedisys Home Health
- NHC Homecare of Columbia
- Accentcare Home Health of Nashville
- Saint Thomas Hickman Hospital
- Maury Regional Hospital
- Tristar Horizon Medical Center
- Ascension Saint Thomas Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000800 | TN | Practitioner - Nurse Practitioner | 4789622317 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8009 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Hickman Hospital | Current |
Accepting new patients | |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Hickman Community Health Careservices | Current |
Accepting new patients | |
| Saint Thomas Medical Partners | Current |
Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Past | Accepting new patients | |
| Maury Regional Ambulatory Care Center Inc. | Family | Past | Accepting new patients |
| Maury Regional Hospital | Past | Accepting new patients |
Locations
150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
5700 Temple Rd
Ste 201
Nashville, TN 37221
Phone (629) 208-6100
300 20th Ave N
Fl 9
Nashville, TN 37203
Interoperability endpoints
- dawn.glenn.1@7654.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8009 | TN | Yes |
Addresses
Primary practice location
150 E Swan St
Centerville, TN 37033-1446
Mailing address
300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4280866 | Other | TN | BLUE CROSS/BLUE /SHIELD |
| 4134504 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3908096 | Medicaid | TN |
Other names
- Dawn A James
Other providers in Centerville, TN
- Regina J Elkins
- Fast Pace Medical Clinic PLLC
- Julia Finchum
- Lydia Fowler
- Fred'S Inc
- Brittani Annessa Griggs
- Michael L Hardy
- Wilbert Harris
- Mark Hartsfield
- David A Heffington
All providers in Centerville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.