Virginia Wallace Dolezal, A.P.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN12526 Issued in TN

Practice address

2619 Sunset PL
Nashville, TN 37212-4815

Phone

(615) 504-6086

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Green Hills Children'S Clinic PLC

  • Legal Medicine
  • Nashville, TN
  • NPI 1770609273
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1598801482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SUNSET PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124815",
            "telephone_number": "615-504-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SUNSET PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124815",
            "telephone_number": "615-504-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEZAL",
        "first_name": "VIRGINIA",
        "middle_name": "WALLACE",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525561",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dolan, DPT
• Dorothy R Dolan, RN
• Erin Alexandra Dolan
• Michael Dole, M.D.
• Nidhi K. Dole, M.D.
• Nick Julian Dolin
• Mildred Dolinger, RN
• Ciara Domenech
• Jessica Sierra Dominguez, RN
• Dominion Care LLC

• Family Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.