Individual provider Active NPI

Rupa Meena Grummon, MSN NP-C

  • Adult Health Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1952569345
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A1207165 Issued in TN
Practice address
4200 Murfreesboro Pike
Antioch, TN 37013-2789
Phone
(615) 501-3500
NPI assigned
Jun 2, 2008
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A1207165 TN Primary
Gerontology Nurse Practitioner 363LG0600X G0408096 TN

Addresses

Primary practice location

4200 Murfreesboro Pike
Antioch, TN 37013-2789

Mailing address

755 Rolling Fork Dr
Brentwood, TN 37027-5919
Phone (615) 927-6132

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
I20090706000628 TN Practitioner - Nurse Practitioner 9133270093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Suite 505
Franklin, TN 37067-5920
Phone (615) 435-7780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13537TNMDObstetrics & Gynecology Physician
A1207165TNMDAdult Health Nurse Practitioner
G0408096TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Medical Group, LLC CurrentSince Aug 1, 2015 Accepting new patients
Housecall Today, Inc PastSince Aug 16, 2021 Accepting new patients
Infinity Resources Inc Adult Health Past Accepting new patients

Locations

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

4601 Carothers Pkwy
Ste 150
Franklin, TN 37067
Phone (615) 595-4570

Interoperability endpoints

  • Direct secure messaging: rupagrummon@wmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1952569345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ROLLING FORK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275919",
            "telephone_number": "615-927-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MURFREESBORO PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132789",
            "telephone_number": "615-501-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMMON",
        "first_name": "RUPA",
        "middle_name": "MEENA",
        "name_prefix": "Mrs.",
        "credential": "MSN NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "A1207165",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "G0408096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.