Active NPI
Jeremy Brian Seaborn, NP
- Family Nurse Practitioner
- Lebanon, TN
National Provider Identifier
1487844858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8415
- Practice address
- 702 S Cumberland St
Lebanon, TN 37087-4110 - Phone
- (615) 444-2121
- Fax
- (615) 547-6474
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8415 | TN | Primary |
Addresses
Primary practice location
702 S Cumberland St
Lebanon, TN 37087-4110
Mailing address
702 S Cumberland St
Lebanon, TN 37087-4110
Phone (615) 444-2121
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3323094 | Other | TN | UHC |
| 7386616 | Other | TN | CIGNA |
| 12242559 | Other | TN | CAQH |
| RN140019 | Other | TN | RN LICENSE |
| APN8415 | Other | TN | APN LICENCE |
| 4297216 | Other | TN | BCBS |
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 |
|---|---|---|---|
| 8415 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1487844858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 S CUMBERLAND ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874110",
"telephone_number": "615-444-2121",
"fax_number": "615-547-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 S CUMBERLAND ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874110",
"telephone_number": "615-444-2121",
"fax_number": "615-547-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEABORN",
"first_name": "JEREMY",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "8415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3323094",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7386616",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12242559",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN140019",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENCE",
"identifier": "APN8415",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4297216",
"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 May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.