Individual provider Active NPI

Jennifer Tillman Stribling, M.D.

  • Allergy & Immunology Physician
  • Brentwood, TN
National Provider Identifier
1922289362
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD0000049052 Issued in TN
Practice address
1623 Galleria Blvd
Brentwood, TN 37027-2926
Phone
(615) 771-8800
Fax
(615) 771-5664
NPI assigned
Nov 14, 2007
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0101243424 VA
Allergy & Immunology Physician 207K00000X MD0000049052 TN Primary
Pediatrics Physician 208000000X 127903 NC
Hospitalist Physician 208M00000X 0101243424 VA

Addresses

Primary practice location

1623 Galleria Blvd
Brentwood, TN 37027-2926

Mailing address

1623 Galleria Blvd
Brentwood, TN 37027-2926
Phone (615) 771-8800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130219000514 TN Practitioner - Allergy/Immunology 5890854194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1623 Galleria Blvd
Brentwood, TN 37027-2926
Phone (615) 771-8800

251 Hillcrest Dr
Suite 101
Clarksville, TN 37043-5091
Phone (931) 645-5689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000049052TNMDAllergy & Immunology Physician
127903NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Allergy Associates PLC Allergy & Immunology CurrentSince Sep 1, 2014 Accepting new patients
Cool Springs Allergy Associates PLC Allergy & Immunology CurrentSince Sep 1, 2014 Accepting new patients
Virginia Hospitalists Inc Past Accepting new patients
Allergy & Asthma Center of FBG, LTD Allergy & Immunology Past Accepting new patients

Locations

1623 Galleria Blvd
Brentwood, TN 37027
Phone (615) 771-8000

251 Hillcrest Dr
Ste 101
Clarksville, TN 37043
Phone (931) 645-5689

1909 Mallory Ln
Ste 308
Franklin, TN 37067
Phone (615) 203-8999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1922289362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "615-771-8800",
            "fax_number": "615-771-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "615-771-8800",
            "fax_number": "615-771-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIBLING",
        "first_name": "JENNIFER",
        "middle_name": "TILLMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2021-03-11",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0101243424",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD0000049052",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "127903",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101243424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.