Active NPI
Jonathan D Deboe
- Electroneurodiagnostic Specialist/Technologist
- Columbia, TN
National Provider Identifier
1376226811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 5328
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401-4802 - Phone
- (931) 381-1111
- NPI assigned
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 5328 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401-4802
Mailing address
750 Old Hickory Blvd Ste 150
Brentwood, TN 37027-5387
Phone (484) 351-8459
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 |
|---|---|---|---|
| 5328 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1376226811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 OLD HICKORY BLVD STE 150",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275387",
"telephone_number": "484-351-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-381-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOE",
"first_name": "JONATHAN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TN",
"license": "5328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.