Individual provider Active NPI

Aspen McDonald, FNP

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1619327772
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21167 Issued in TN
Practice address
435 N Cedar Ave
Cookeville, TN 38501-2422
Phone
(931) 526-6100
Fax
(931) 526-6002
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21167 TN Primary

Addresses

Primary practice location

435 N Cedar Ave
Cookeville, TN 38501-2422

Mailing address

435 N Cedar Ave
Cookeville, TN 38501-2422
Phone (931) 526-6100

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
I20170307001710 TN Practitioner - Nurse Practitioner 4880978048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health TN, PCGroup PAC ID 4688065980, 56 clinicians

Practice addresses (Care Compare)

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 6, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 6, 2017 Accepting new patients
Diana Health TN, PC CurrentSince Jul 24, 2023 Accepting new patients

Locations

317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527

300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858

150 Sam Walton Dr
Sparta, TN 38583
Phone (931) 332-0961

Interoperability endpoints

  • Direct secure messaging: aspen.mcdonald.1@23211.direct.athenahealth.com

Organizations & group practices 3

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

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1619327772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012422",
            "telephone_number": "931-526-6100",
            "fax_number": "931-526-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012422",
            "telephone_number": "931-526-6100",
            "fax_number": "931-526-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ASPEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.