Active NPI
Denise L Jones, CFNP
- Nurse Practitioner
- Fort Campbell, KY
National Provider Identifier
1003865551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 03560
- Practice address
- 605 Joel Drive
Fort Campbell, KY 42223 - Phone
- (270) 798-4677
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29229 | TN | |
| Family Nurse Practitioner | 363LF0000X | AP116450 | TX | |
| Family Nurse Practitioner | 363LF0000X | 334373 | NY | |
| Nurse Practitioner | 363L00000X | 03560 | NM | Primary |
Addresses
Primary practice location
605 Joel Drive
Fort Campbell, KY 42223
Mailing address
2770 Russell Rd
Palmyra, TN 37142-2248
Phone (585) 409-0151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718003395 | NM | Order and Referring Only - Nurse Practitioner | 1153375464 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
980 Professional Park Dr
Clarksville, TN 37040-5251
Phone (931) 221-9967
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03560 | NM | MD | Nurse Practitioner |
| 29229 | TN | MD | Nurse Practitioner |
| 334373 | NY | MD | Family Nurse Practitioner |
| AP116450 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Grindstaff Dpmpa | Past | Accepting new patients | |
| Sunwest Behavioral Associates PA | Past | Accepting new patients | |
| El Paso Hospitalist Group PLLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1548595671
Nurse Practitioner
-
- Foot & Ankle Surgery Podiatrist
- El Paso, TX
- NPI 1619017050
-
- Psychiatry Physician
- El Paso, TX
- NPI 1053578021
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1003865551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 RUSSELL RD",
"city": "PALMYRA",
"state": "TN",
"postal_code": "371422248",
"telephone_number": "585-409-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 JOEL DRIVE",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-798-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DENISE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2023-12-01",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "29229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP116450",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334373",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "03560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.