Active NPI
Connie Avery, REGISTERED NURSE
- Registered Nurse
- Brentwood, TN
National Provider Identifier
1366565731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0000049832
- Practice address
- 7003 Chadwick Dr
Suite 208
Brentwood, TN 37027-5232 - Phone
- (615) 261-3661
- Fax
- (615) 465-8427
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| RN0000049832 | TN | MD | Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000049832 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7003 Chadwick Dr
Suite 208
Brentwood, TN 37027-5232
Mailing address
2343 Bear Creek Pike
Columbia, TN 38401-7667
Phone (931) 381-6810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366565731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2343 BEAR CREEK PIKE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384017667",
"telephone_number": "931-381-6810",
"fax_number": "931-381-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 CHADWICK DR",
"address_2": "SUITE 208",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275232",
"telephone_number": "615-261-3661",
"fax_number": "615-465-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "CONNIE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000049832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.