Individual provider Active NPI

Debra Faye Landwehr, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1770253106
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30317 Issued in TN
Practice address
1840 Medical Center Pkwy Ste 404
Murfreesboro, TN 37129-3237
Phone
(615) 396-5003
NPI assigned
Sep 16, 2021
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 30317 TN Primary

Addresses

Primary practice location

1840 Medical Center Pkwy Ste 404
Murfreesboro, TN 37129-3237

Mailing address

1840 Medical Center Pkwy Ste 404
Murfreesboro, TN 37129-3237
Phone (615) 396-5003

Other practice location 1

110 Chancel Ct
Murfreesboro, TN 37129-8903
Phone (615) 439-5585

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401001325 TN Practitioner - Nurse Practitioner 0446646376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Tennessee, PLLCGroup PAC ID 2961720313, 13 clinicians

Practice addresses (Care Compare)

1840 Medical Ctr Pkwy
Suite 404
Murfreesboro, TN 37129-3237
Phone (615) 396-5003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30317TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Tennessee, PLLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

647 Dunlop Ln
Ste 108
Clarksville, TN 37040
Phone (904) 446-3400

2253 Chambliss Ave NW
Ste 101
Cleveland, TN 37311
Phone (423) 473-7475

1840 Medical Center Pkwy
Ste 404
Murfreesboro, TN 37129
Phone (615) 396-5003

2000 Murphy Ave
Nashville, TN 37203
Phone (615) 284-2800

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

155 Hospital Rd
Ste J
Winchester, TN 37398
Phone (931) 967-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1770253106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY STE 404",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293237",
            "telephone_number": "615-396-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY STE 404",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293237",
            "telephone_number": "615-396-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Chancel Ct",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371298903",
            "country_code": "US",
            "telephone_number": "615-439-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDWEHR",
        "first_name": "DEBRA",
        "middle_name": "FAYE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.