DR. GRETCHEN PURCELL JACKSON (NPI# 1790712693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790712693 |
| Entity Type | Individual |
| Full Name | DR. GRETCHEN PURCELL JACKSON |
| Other Name | DR. GRETCHEN PATRICIA PURCELL |
| Credential | M.D., PH.D. |
| Practice Address |
3601 The Vanderbilt Clinic Nashville TN 37232-5100 |
| Mailing Address |
4163 Village At Vanderbilt Nashville TN 37232-8678 |
| Practice Telephone | 6153223000 |
| Mailing Telephone | 6153223573 |
| Mailing Fax Number | 6159366095 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD41269 | TN | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD41269 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 620476822 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Childrens Way, Nashville, TN 372320005 | 6159362000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780822734 | Gretchen D Jackson | Counselor | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2009-01-29 |
| 1346315835 | Gretchen H Jackson | Physical Therapist | 211 Cool Springs Blvd, Franklin, TN 37067-7242 | 2006-11-21 |
| Street Address |
3601 THE VANDERBILT CLINIC |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1649879396 | Tiffany Marie Spetz | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-23 |
| 1902403017 | Danielle Farideh Guy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-02 |
| 1497362297 | Madison Miller | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-25 |
| 1528675584 | Sara Catherine Brooks | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5050 | 2020-09-24 |
| 1790391076 | Margaret Eileen Schneider | Nurse Anesthetist, Certified Registered | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-22 |
| 1659987451 | Delaney Jane Boyce | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-17 |
| 1891301636 | Alicia Mattachione | Occupational Therapist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4689 | 2020-09-17 |
| 1093321861 | Bettye Anne Woodard | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0011 | 2020-09-17 |
| 1801400858 | Samantha Rivers Green | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902993025 | Stephen Eric Morrow | Surgery | 330 23rd Ave N Ste 350, Nashville, TN 37203-1650 | 2006-10-09 |
| 1558315861 | Martin L. Blakely | Surgery | 7102 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2006-05-20 |
| 1306013719 | Melissa Ellen Danko | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2008-05-14 |
| 1578635025 | Eunice Yuee-dean Huang | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4625 | 2006-11-13 |
| 1669569778 | Harold N. Lovvorn IIi | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1720170152 | John Pietsch | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1558453969 | James Oneill | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1477645802 | Wallace Neblett | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1982796397 | Walter Morgan | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1295762797 | John C Thomas | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2006-06-28 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.