Alese Denae McClelland, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

30425 Issued in TN

Practice address

500 Hickory Hollow Ter
Antioch, TN 37013-2115

Phone

(615) 440-7385

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1942946108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HICKORY HOLLOW TER",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132115",
            "telephone_number": "615-440-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HICKORY HOLLOW TER",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132115",
            "telephone_number": "615-440-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4347 Lebanon Pike",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370761243",
            "country_code": "US",
            "telephone_number": "615-440-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "ALESE",
        "middle_name": "DENAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "30425",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "30425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Marshall
• Amanda Ruth Matthaei, RN
• Max Mobility, LLC
• Brian Francis McBride, PHARMD
• Steve McCharen
• Bethany Grace McCluskey
• Taryn McCoy
• Brittany McDonald, CCC-SLP
• Daniel J McHugh, MD
• Angela R McKnight, FNP

• Primary Care Nurse Practitioner in Antioch, TN
• Providers in Antioch, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.