Individual provider Active NPI

Jennifer McClellan, APRN, CNM

  • Advanced Practice Midwife
  • Nashville, TN
National Provider Identifier
1700660669
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
34465 Issued in TN
Practice address
601 Benton Ave
Nashville, TN 37204-2303
Phone
(615) 292-9770
Fax
(615) 292-9705
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 34465 TN Primary

Addresses

Primary practice location

601 Benton Ave
Nashville, TN 37204-2303

Mailing address

601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 292-9770

Other practice location 1

2000 Church St
Nashville, TN 37236-4400
Phone (615) 292-9770

Other practice location 2

2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 292-9770

Other identifiers 1

IdentifierTypeStateIssuer
Q086300MedicaidTN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922001792 TN Practitioner - Certified Nurse Midwife (CNM) 9931553013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
34465TNMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Community Health Services, Inc CurrentSince Aug 20, 2023 Accepting new patients

Locations

3754 Murfreesboro Pike
Antioch, TN 37013
Phone (629) 208-6200

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

601 Benton Ave
Nashville, TN 37204
Phone (615) 292-9770

2300 21st Ave S
Ste 305
Nashville, TN 37212
Phone (434) 484-2132

2637 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 292-9770

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1700660669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-292-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-292-9705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Church St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372364400",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2637 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173505",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "JENNIFER",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "34465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q086300",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.