Active NPI
Donna Jeanne Prelog, CNM
- Advanced Practice Midwife
- Hixson, TN
National Provider Identifier
1891773370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APN10580
- Practice address
- 2051 Hamill Rd
Ste 400
Hixson, TN 37343-6606 - Phone
- (423) 877-4549
- Fax
- (423) 875-8510
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APN10580 | TN | Primary |
Addresses
Primary practice location
2051 Hamill Rd
Ste 400
Hixson, TN 37343-6606
Mailing address
2051 Hamill Rd
Ste 400
Hixson, TN 37343-6606
Phone (423) 877-4549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN10580 | Other | TN | MEDICAL LICENSURE |
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN10580 | TN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1891773370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 HAMILL RD",
"address_2": "STE 400",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436606",
"telephone_number": "423-877-4549",
"fax_number": "423-875-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 HAMILL RD",
"address_2": "STE 400",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436606",
"telephone_number": "423-877-4549",
"fax_number": "423-875-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRELOG",
"first_name": "DONNA",
"middle_name": "JEANNE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "APN10580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSURE",
"identifier": "APN10580",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.