Individual provider Active NPI

Allison Jacobs Bodzy, F.N.P.

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1689604720
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8115 Issued in TN
Practice address
343 Franklin Rd Ste 202
Brentwood, TN 37027-5250
Phone
(615) 377-3448
Fax
(615) 370-3449
NPI assigned
Jul 4, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 8115 TN Primary

Addresses

Primary practice location

343 Franklin Rd Ste 202
Brentwood, TN 37027-5250

Mailing address

107 Glidepath Way
Lebanon, TN 37090-4133
Phone (615) 449-5771

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
I20070313000424 TN Practitioner - Nurse Practitioner 6204939242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

343 Franklin Rd
Suite 202
Brentwood, TN 37027-5250
Phone (615) 370-3449

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 1, 2016 Accepting new patients
Cumberland Skin Surgery and Dermatology CurrentSince Dec 1, 2018 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 1, 2016 Accepting new patients
Bradshaw Medical Clinic, PC Past Accepting new patients
Brentwood Dermatology PastSince Dec 1, 2018 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

343 Franklin Rd
Ste 202
Brentwood, TN 37027
Phone (615) 377-3448

3040 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 870-1404

3786 Central Pike
Ste 110
Hermitage, TN 37076
Phone (615) 964-5941

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

1409 W Baddour Pkwy
Ste D
Lebanon, TN 37087
Phone (615) 444-4126

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

4515 Harding Pike
Ste 310
Nashville, TN 37205
Phone (423) 702-6341

Interoperability endpoints

  • Direct secure messaging: abodzy@directaddress.net
  • Direct secure messaging: allison.bodzy@qdp.emadirect.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGIAD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1689604720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275250",
            "telephone_number": "615-377-3448",
            "fax_number": "615-370-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODZY",
        "first_name": "ALLISON",
        "middle_name": "JACOBS",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.