Individual provider Active NPI

Dalton Pickney Rodriguez, MSN APN ACNP-BC

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1548537533
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15303 Issued in TN
Practice address
2400 Patterson St
Suite 502
Nashville, TN 37203-1562
Phone
(615) 515-1900
Fax
(615) 292-4633
NPI assigned
Nov 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 15303 TN
Nurse Practitioner 363L00000X 15303 TN Primary

Addresses

Primary practice location

2400 Patterson St
Suite 502
Nashville, TN 37203-1562

Mailing address

2400 Patterson St
Suite 502
Nashville, TN 37203-1562
Phone (615) 515-1900

Other identifiers 3

IdentifierTypeStateIssuer
1527568MedicaidTN
PO1120793OtherTNRR MEDICARE
4324125OtherTNBLUE CROSS/BLUE SHIELD

Other names 1

  • Dalton Elizabeth Pickney Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DALTON.RODRIGUEZ@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000332 TN Practitioner - Nurse Practitioner 8022278266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 222-2100

2400 Patterson St
Suite 103
Nashville, TN 37203-1577
Phone (615) 515-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15303TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Nurse Practitioner CurrentSince Jan 1, 2018 Accepting new patients
Saint Thomas Medical Partners CurrentSince Feb 7, 2012 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

300 20th Ave N
Fl 9
Nashville, TN 37203

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

Interoperability endpoints

  • Direct secure messaging: dalton.rodriguez@hca1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1548537533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-515-1900",
            "fax_number": "615-292-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-515-1900",
            "fax_number": "615-292-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DALTON",
        "middle_name": "PICKNEY",
        "name_prefix": "Ms.",
        "credential": "MSN APN ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "15303",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527568",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PO1120793",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4324125",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DALTON.RODRIGUEZ@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St",
            "address_2": "SUITE 502",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DALTON",
            "last_name": "PICKNEY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.