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Deactivated NPI 1235291147 Deactivated / Inactive NPI Male Practitioner

Tendal Shannon Wilson , LCPO, CPED

Prosthetist • Franklin, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tendal Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 15, 2006
NPI Deactivation Date October 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Tendal Wilson, LCPO, CPED was a registered Prosthetist practicing in Franklin, TN. Throughout an active medical career spanning 12 years, Tendal Wilson provided care at the practice location at 3310 ASPEN GROVE DR. until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

3310 Aspen Grove Dr.
Ste 303

Franklin, TN 37067

Telephone 6152005095

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Franklin, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Franklin, TN (58 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active July 09, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2012

Registered at 3310 ASPEN GROVE DR., STE 303, FRANKLIN, TN 37067 (Tel: 6152005095)

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Updated Business Mailing Address July 09, 2012

Registered at 3310 ASPEN GROVE DR., STE 303, FRANKLIN, TN 37067 (Tel: 6152005095)

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Provider Name / Credentials Updated July 09, 2012

Recorded as TENDAL WILSON, LCPO,CPED

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2012

Prosthetist

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Initial NPI Registration & Enumeration December 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235291147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: July 09, 2012
Deactivation Date: October 25, 2018

Mailing Address

3310 Aspen Grove Dr., Ste 303

Franklin, TN 37067

Phone: 6152005095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.