Individual provider Active NPI

Jaclyn Marie Tunney

  • Gerontology Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1871068247
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
24941 Issued in TN
Practice address
1215 21St Ave S
Nashville, TN 37232-0001
Phone
(615) 322-5000
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 24941 TN
Adult Health Nurse Practitioner 363LA2200X 24941 TN
Gerontology Nurse Practitioner 363LG0600X 24941 TN Primary

Addresses

Primary practice location

1215 21St Ave S
Nashville, TN 37232-0001

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other names 1

  • Jaclyn Marie Sojda Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsojda283058@direct.vumc.org Direct

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
I20190312001839 TN Practitioner - Nurse Practitioner 6709126691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

1211 Medical Ctr Dr
Nashville, TN 37232-0004
Phone (615) 322-5000

1215 21St Ave S
Nashville, TN 37232-0015
Phone (615) 343-8332

1301 22ND Ave S
Nashville, TN 37232-5100
Phone (615) 322-3000

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

1500 Medical Ctr Dr
Nashville, TN 37232-0016
Phone (615) 322-4751

2200 Childrens Way
Nashville, TN 37232-0034
Phone (615) 936-1000

2220 Pierce Ave
Nashville, TN 37232-0021
Phone (615) 936-8422

2311 Pierce Ave
Nashville, TN 37232-0025
Phone (615) 936-2020

2410 8TH Ave S
Nashville, TN 37204-2490
Phone (615) 343-5700

2410 Franklin Pike
Nashville, TN 37204-2227
Phone (615) 936-5858

2603 Bransford Ave
Nashville, TN 37204-2811
Phone (615) 259-8755

2608 8TH Ave S
Nashville, TN 37204-2584

2694 Fessey CT
Nashville, TN 37204-2813
Phone (615) 259-8755

3601 The Vanderbilt Clinic
Nashville, TN 37232-5100
Phone (615) 322-3000

410 24TH Ave S
Nashville, TN 37232-0038
Phone (615) 322-1822

6000 Medical Ctr E - N Tower
Nashville, TN 37232-2350
Phone (615) 936-3636

719 Thompson LN
Nashville, TN 37204-3609
Phone (615) 322-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24941TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center CurrentSince Feb 15, 2019 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

1215 21st Ave S
Ste 5140
Nashville, TN 37232
Phone (615) 936-3013

1215 21st Ave S
Nashville, TN 37232
Phone (615) 322-6180

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1871068247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNEY",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "24941",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "24941",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "24941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsojda283058@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1215 21st Ave S",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "SOJDA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.