Individual provider Active NPI

Deborah G Hensley, A.P.N.

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1891777017
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN5543 Issued in TN
Practice address
438 N Whitney Ave
Cookeville, TN 38501-2455
Phone
(931) 783-2616
Fax
(931) 783-2610
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 50453 TN
Nurse Practitioner 363L00000X APN5543 TN Primary

Addresses

Primary practice location

438 N Whitney Ave
Cookeville, TN 38501-2455

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other identifiers 2

IdentifierTypeStateIssuer
3290018MedicaidTN
3290019MedicaidTN

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
I20040813000074 TN Practitioner - Nurse Practitioner 2961475520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50453TNMDNurse Practitioner
APN5543TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc Nurse Practitioner CurrentSince Nov 6, 2017 Accepting new patients
Dale Hollow Family Practice LLC Past Accepting new patients
Medical Observation Services LLC Past Accepting new patients
Volunteer Medical Group, P.C. Past Accepting new patients

Locations

142 W 5th St
Cookeville, TN 38501
Phone (931) 520-2662

438 N Whitney Ave
Cookeville, TN 38501
Phone (931) 783-2616

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

127 N Oak Ave
#D
Cookeville, TN 38501

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

406 N Whitney Ave
Ste 5
Cookeville, TN 38501
Phone (931) 783-2904

228 W 4th St
Ste 301
Cookeville, TN 38501
Phone (931) 526-4349

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1891777017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N WHITNEY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012455",
            "telephone_number": "931-783-2616",
            "fax_number": "931-783-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "DEBORAH",
        "middle_name": "G",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "50453",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN5543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3290018",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3290019",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.