Individual provider Active NPI

Deanna Mengelberg Mengelberg-Dodd, WHNP

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1407075237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN0000006937 Issued in TN
Practice address
419 Welshwood Dr
Nashville, TN 37211-4206
Phone
(615) 331-1200
Fax
(615) 331-5107
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN0000006937 TN Primary

Addresses

Primary practice location

419 Welshwood Dr
Nashville, TN 37211-4206

Mailing address

1716 Fox Run Rd
Lebanon, TN 37087-3188
Phone (615) 331-1200

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

LicenseStateTypeSpecialty
APN0000006937TNMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407075237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 FOX RUN RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873188",
            "telephone_number": "615-331-1200",
            "fax_number": "615-331-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WELSHWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114206",
            "telephone_number": "615-331-1200",
            "fax_number": "615-331-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGELBERG-DODD",
        "first_name": "DEANNA",
        "middle_name": "MENGELBERG",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "APN0000006937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, 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.

Verify at the official NPI Registry.