Active NPI
Meghan Sue Underwood, APN
- Nurse Practitioner
- Franklin, TN
National Provider Identifier
1396793774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12069
- Practice address
- 1846 Wilson Pike
Franklin, TN 37067-7506 - Phone
- (615) 829-2565
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12069 | TN | Primary |
Addresses
Primary practice location
1846 Wilson Pike
Franklin, TN 37067-7506
Mailing address
PO Box 7756
Rocky Mount, NC 27804-0756
Phone (252) 985-1371
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3370186 | Other | TN | MEDICAID GROUP # |
| 4167860 | Other | TN | BCBS PROV # |
| 36432461 | Medicaid | TN | |
| 12069 | Other | TN | APN LICENSE |
| 3370186 | Other | TN | MEDICARE GROUP # |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12069 | TN | MD | Pediatric Dentist |
Interoperability endpoints
- https://api.platform.athenahealth.com/10435/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1396793774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7756",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040756",
"telephone_number": "252-985-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1846 WILSON PIKE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677506",
"telephone_number": "615-829-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "MEGHAN",
"middle_name": "SUE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "12069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "3370186",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "4167860",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36432461",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "12069",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "3370186",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
- UC Health Center for Reproductive Health LLC
- Madalyn Rae Ulery, M.S. CCC-SLP
- Cayla Rae Underwood, RN, BSN, CBS
- Jolene Underwood, LPC-MHSP
- Mary E Underwood, OTR/L
- Unity Chiropractic PLC
- Unity Health Home, Inc (Unity Health Home)
- University Foot and Ankle Centers, LLC
- Precious Upshaw
- Brooke Nicole Urich, MS, LPC-T, MHSP-T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.