Individual provider Active NPI

Joshua Vander Velden, MHR, ATC

  • Athletic Trainer
  • Nashville, TN
National Provider Identifier
1962464198
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0000000717 Issued in TN
Practice address
2601 Jess Neely Dr
Nashville, TN 37212-2039
Phone
(615) 322-8769
Fax
(615) 343-2592
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0000000717 TN Primary

Addresses

Primary practice location

2601 Jess Neely Dr
Nashville, TN 37212-2039

Mailing address

4261 Chesney Glen Dr
Hermitage, TN 37076-4431
Phone (615) 585-6481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000000717TNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962464198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 CHESNEY GLEN DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370764431",
            "telephone_number": "615-585-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 JESS NEELY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122039",
            "telephone_number": "615-322-8769",
            "fax_number": "615-343-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER VELDEN",
        "first_name": "JOSHUA",
        "credential": "MHR, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.