NPIMap

Individual provider Active NPI

Dawn A Glenn, NP

  • Family Nurse Practitioner
  • Centerville, TN
National Provider Identifier
1366474298
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8009 Issued in TN
Practice address
150 E Swan St
Centerville, TN 37033-1446
Phone
(931) 729-3091
Fax
(931) 729-0174
NPI assigned
Jul 7, 2006
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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 8009 TN Primary

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 names 1

  • Dawn A James Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000800 TN Practitioner - Nurse Practitioner 4789622317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 7315855368, 17 clinicians

Practice addresses (Care Compare)

150 E Swan St
Centerville, TN 37033-1446
Phone (931) 729-3091

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8009TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hickman Community Health Careservices CurrentSince Sep 1, 2010 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 1, 2015 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Sep 1, 2010 Accepting new patients
Maury Regional Hospital Past Accepting new patients
Maury Regional Ambulatory Care Center Inc. Family Past Accepting new patients
Maury Regional Hospital Marshall Medical Center 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
Fl 9
Nashville, TN 37203

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

Interoperability endpoints

  • Direct secure messaging: dawn.glenn.1@7654.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1366474298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-4029",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331446",
            "telephone_number": "931-729-3091",
            "fax_number": "931-729-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "DAWN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "JAMES",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, TN

Sources for this page

Verify at the official NPI Registry.