Active NPI
Jeremy Nunn
- Physical Medicine & Rehabilitation Physician
- Chattanooga, TN
National Provider Identifier
1811760598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4594
- Practice address
- 6116 Shallowford Rd
Chattanooga, TN 37421-7201 - Phone
- (423) 855-6233
- NPI assigned
- Nov 3, 2023
- Last updated
- Nov 3, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4594 | TN | Primary |
Addresses
Primary practice location
6116 Shallowford Rd
Chattanooga, TN 37421-7201
Mailing address
10 Lake Haven Rd
Soddy Daisy, TN 37379-2832
Phone (423) 280-3663
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4594 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1811760598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAKE HAVEN RD",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373792832",
"telephone_number": "423-280-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217201",
"telephone_number": "423-855-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "4594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.