Active NPI
Danielle Tennial
- Registered Nurse
- Memphis, TN
National Provider Identifier
1821685678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 189651
- Practice address
- 1641 Hutson Rd
Memphis, TN 38116-7933 - Phone
- (901) 870-2222
- NPI assigned
- Dec 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 189651 | TN | Primary |
Addresses
Primary practice location
1641 Hutson Rd
Memphis, TN 38116-7933
Mailing address
1641 Hutson Rd
Memphis, TN 38116-7933
Phone (901) 870-2222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Memphis | Direct |
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 |
|---|---|---|---|
| 189651 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1821685678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 HUTSON RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167933",
"telephone_number": "901-870-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 HUTSON RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167933",
"telephone_number": "901-870-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNIAL",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "189651",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Memphis",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1641 Hutson Rd",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381167933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Memphis, TN
- Tennessee PHS PC
- Tennessee Physical Therapy Services of Memphis, LLC (Tennessee Physical Therapy Services of Memphis)
- Tennessee Spine and Joint PLLC (iRise Spine and Joint)
- Tennessee TR Centers, PLLC
- Tennessee Training Academy
- Jerical Shiquita Tennial
- Tiffany Tenort, NP
- Cortney Terhune, NP
- Terminix International
- Austin Lane Terrell, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.