Individual provider Active NPI

Delaina Roney, APRN

  • Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1912673716
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29855 Issued in TN
Practice address
651 Dunlop LN
Clarksville, TN 37040-5015
Phone
(931) 502-2100
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 29855 TN Primary

Addresses

Primary practice location

651 Dunlop LN
Clarksville, TN 37040-5015

Mailing address

4590 Southside Rd
Southside, TN 37171-9042
Phone (615) 772-3365

Other practice location 1

4590 Southside Rd
Southside, TN 37171-9042
Phone (615) 772-3365

Other practice location 2

4590 Southside Rd
Southside, TN 37171-9042
Phone (615) 772-3365

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
I20211022001890 TN Practitioner - Nurse Practitioner 1153719216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (769) 243-6141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Jan 2, 2024 Accepting new patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Aug 14, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 3, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 3, 2022 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1912673716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 SOUTHSIDE RD",
            "city": "SOUTHSIDE",
            "state": "TN",
            "postal_code": "371719042",
            "telephone_number": "615-772-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-502-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4590 Southside Rd",
            "address_purpose": "LOCATION",
            "city": "Southside",
            "state": "TN",
            "postal_code": "371719042",
            "country_code": "US",
            "telephone_number": "615-772-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4590 Southside Rd",
            "address_purpose": "LOCATION",
            "city": "Southside",
            "state": "TN",
            "postal_code": "371719042",
            "country_code": "US",
            "telephone_number": "615-772-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONEY",
        "first_name": "DELAINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.