Active NPI
Jennifer McClellan, APRN, CNM
- Advanced Practice Midwife
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 34465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q086300 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34465 | TN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Community Health Services, Inc | Current | 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.
-
- Community Health Clinic/Center
- Nashville, TN
- NPI 1275634818
TN
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.