Individual provider Active NPI

Donald W Nuessle, M.D.

  • Pediatrics Physician
  • Lebanon, TN
National Provider Identifier
1487768735
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD23546 Issued in TN
Practice address
1029 W Main St
Suite M
Lebanon, TN 37087-3351
Phone
(615) 453-1252
Fax
(615) 453-1286
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23546 TN
Pediatrics Physician 208000000X MD23546 TN Primary

Addresses

Primary practice location

1029 W Main St
Suite M
Lebanon, TN 37087-3351

Mailing address

1029 W Main St
Suite M
Lebanon, TN 37087-3351
Phone (615) 443-1252

Other identifiers 1

IdentifierTypeStateIssuer
3072246MedicaidTN

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD23546TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Em-I Medical Services PC Past Accepting new patients
Solomon Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drnuessle@cumberlandpeds.opdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1487768735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W MAIN ST",
            "address_2": "SUITE M",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873351",
            "telephone_number": "615-443-1252",
            "fax_number": "615-453-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W MAIN ST",
            "address_2": "SUITE M",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873351",
            "telephone_number": "615-453-1252",
            "fax_number": "615-453-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUESSLE",
        "first_name": "DONALD",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "23546",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD23546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072246",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.