Jennifer Melick, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30157 Issued in TN

Practice address

1531 Hunt Club Blvd Ste 320
Gallatin, TN 37066-6098

Phone

(615) 452-8989

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Blomgren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours Short Pump Primary Care

  • Primary Care Clinic/Center
  • Richmond, VA
  • NPI 1124532239
  NPD (past)
• Southeast Eight Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1972172716
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1730692476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COBBLER CIR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753963",
            "telephone_number": "724-681-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 HUNT CLUB BLVD STE 320",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666098",
            "telephone_number": "615-452-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12320 W Broad St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232337603",
            "country_code": "US",
            "telephone_number": "804-612-2980",
            "fax_number": "804-762-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELICK",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BLOMGREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Diane Meadows, M.A.
• Meaningful Living, LLC
• Roberta Lee Mefford, PT
• Priti Mehta
• Susana Michelle Melgar, RBT
• Wendy M Mell, NP
• Miguel A Mendieta, RD,LDN
• Mendoza Foot & Ankle Center PC
• Mark Mendoza, D.C.
• Meridian Wellness Center, PLLC

• Family Nurse Practitioner in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.