Individual provider Active NPI

Marguerite Dianne Record, FNP-BC

  • Family Nurse Practitioner
  • Manchester, TN
National Provider Identifier
1659601425
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14351 Issued in TN
Practice address
227 Monogard Dr
Manchester, TN 37355-3198
Phone
(931) 685-6672
Fax
(262) 372-5581
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLC 181 clinicians

Practice addresses (Care Compare)

1802 N Jackson St
Suite 850
Tullahoma, TN 37388-8237
Phone (931) 563-5501

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

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
I20100503000458 TN Practitioner - Nurse Practitioner 6204964851 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14351TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Family Medical PLC Family PastSince Aug 1, 2012 Accepting new patients
University Community Health Services, Inc Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dianne.davenport.1@7654.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14351 TN
Family Nurse Practitioner 363LF0000X 14351 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

227 Monogard Dr
Manchester, TN 37355-3198

Mailing address

227 Monogard Dr
Manchester, TN 37355-3198
Phone (931) 450-4650

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2025.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1659601425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MONOGARD DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553198",
            "telephone_number": "931-450-4650",
            "fax_number": "262-372-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MONOGARD DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553198",
            "telephone_number": "931-685-6672",
            "fax_number": "262-372-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECORD",
        "first_name": "MARGUERITE",
        "middle_name": "DIANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14351",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.