Individual provider Active NPI

Melanie Jarrell Sites, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1750047056
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30304 Issued in TN
Practice address
413 Idlewood Dr
Clarksville, TN 37043-6020
Phone
(931) 206-6998
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 30304 TN Primary

Addresses

Primary practice location

413 Idlewood Dr
Clarksville, TN 37043-6020

Mailing address

413 Idlewood Dr
Clarksville, TN 37043-6020
Phone (931) 206-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1750047056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 IDLEWOOD DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436020",
            "telephone_number": "931-206-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 IDLEWOOD DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436020",
            "telephone_number": "931-206-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITES",
        "first_name": "MELANIE",
        "middle_name": "JARRELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.