Individual provider Active NPI

Jessie Madormo, NP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1619454667
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27595 Issued in TN
Practice address
6200 Highway 100 Ste 101
Nashville, TN 37205-4252
Phone
(615) 815-7122
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 27595 TN Primary

Addresses

Primary practice location

6200 Highway 100 Ste 101
Nashville, TN 37205-4252

Mailing address

1101 N 7TH St
Nashville, TN 37207-5737
Phone (203) 232-5704

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27595TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel a Hatef MD, PLLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

6200 Highway 100
Ste 101
Nashville, TN 37205
Phone (615) 815-7122

Organizations & group practices 1

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1619454667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N 7TH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075737",
            "telephone_number": "203-232-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 HIGHWAY 100 STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054252",
            "telephone_number": "615-815-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORMO",
        "first_name": "JESSIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.