Healthcare Provider Details

I. General information

NPI: 1720462682
Provider Name (Legal Business Name): RACHEL DIBBLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2015
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 CHOCTAW TRL
BRENTWOOD TN
37027-7410
US

IV. Provider business mailing address

1208 CHOCTAW TRL
BRENTWOOD TN
37027-7410
US

V. Phone/Fax

Practice location:
  • Phone: 615-645-3031
  • Fax: 615-678-5676
Mailing address:
  • Phone: 615-645-3031
  • Fax: 615-678-5676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberC-APN.0000763-C-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN0000020131
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60755352
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP10067
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number201703422NP-PP
License Number StateOR
# 6
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number20131
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: