Active NPI
Linda G Jose, APRN-BC
- Psychiatric/Mental Health Nurse Practitioner
- Murfreesboro, TN
National Provider Identifier
1053350074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN 11631
- Practice address
- 1927 Memorial Blvd
Murfreesboro, TN 37129-1545 - Phone
- (615) 294-7766
- Fax
- (615) 225-8617
- NPI assigned
- Jun 5, 2006
- Last updated
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN 11631 | TN | Primary |
Addresses
Primary practice location
1927 Memorial Blvd
Murfreesboro, TN 37129-1545
Mailing address
2430 Tomahawk Trce
Murfreesboro, TN 37129-6501
Phone (615) 294-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20060706000187 | TN | Practitioner - Nurse Practitioner | 8527070739 | Practice locations: Nashville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Burton Hills Blvd
Nashville, TN 37215-6156
Phone (615) 665-2524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 11631 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1053350074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 TOMAHAWK TRCE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371296501",
"telephone_number": "615-294-7766",
"fax_number": "615-225-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 MEMORIAL BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291545",
"telephone_number": "615-294-7766",
"fax_number": "615-225-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "LINDA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "APRN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN 11631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.