Healthcare Provider Details

I. General information

NPI: 1922417385
Provider Name (Legal Business Name): DIONICIA MACIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2014
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 CAROTHERS PKWY # 6550
FRANKLIN TN
37067-6693
US

IV. Provider business mailing address

6550 CAROTHERS PKWY # 6550
FRANKLIN TN
37067-6693
US

V. Phone/Fax

Practice location:
  • Phone: 615-324-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number711237
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95000546
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1032931
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: