Individual provider Active NPI

Meredith Inman Dunham, N.P.

  • Family Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1962441006
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN139970 Issued in TN
Practice address
740 Conference Dr
Goodlettsville, TN 37072-1915
Phone
(615) 859-1440
Fax
(615) 859-0145
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN139970 TN Primary

Addresses

Primary practice location

740 Conference Dr
Goodlettsville, TN 37072-1915

Mailing address

PO Box 710
Goodlettsville, TN 37070-0710
Phone (615) 859-1440

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
I20041101000251 TN Practitioner - Nurse Practitioner 6901868140 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN139970TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Hollow Family Practice CurrentSince Feb 22, 2014 Accepting new patients

Locations

450 Professional Park Dr
Goodlettsville, TN 37072
Phone (615) 330-7059

450 Professional Park Dr
Ste C
Goodlettsvlle, TN 37072
Phone (615) 851-5140

740 Conference Dr
Goodlettsvlle, TN 37072
Phone (615) 851-7000

Organizations & group practices 1

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1962441006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370700710",
            "telephone_number": "615-859-1440",
            "fax_number": "615-859-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CONFERENCE DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721915",
            "telephone_number": "615-859-1440",
            "fax_number": "615-859-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "MEREDITH",
        "middle_name": "INMAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN139970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.