Jeannie Carol Mundy, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

51298 Issued in TN

Practice address

1420 Donelson Pike Ste B19
Nashville, TN 37217-2999

Phone

(615) 714-3690

Fax

(615) 366-0296

NPI assigned

Jan 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1700537040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 DONELSON PIKE STE B19",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172999",
            "telephone_number": "615-714-3690",
            "fax_number": "615-366-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 DONELSON PIKE STE B19",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172999",
            "telephone_number": "615-714-3690",
            "fax_number": "615-366-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "JEANNIE",
        "middle_name": "CAROL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "51298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary D Mund, M.D.
• Blake Mundell
• Charles Munderloh
• Ellen Mundie-Ott, PT
• Venkat Ram Rakesh Mundra, M.D.
• Munef Express Inc
• Mimi Mungomba, LMFT
• Greydon Munguia
• Jacklyn Munn, FNP-C
• Lauren Gaye Munn, L.C.S.W

• Licensed Practical Nurse in Nashville, TN
• Providers in Nashville, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.