Tiffany Charlotte Jenkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000014278 Issued in TN

Practice address

1497 W Elk Ave
Suite 21
Elizabethton, TN 37643-2895

Phone

(423) 542-7420

Fax

(423) 542-7425

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Debra Jo UncapherGroup PAC ID 5092116384, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Debra Jo Uncapher

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1730755083
  Medicare reassignment Care Compare group NPD
• New Horizons Continence Management LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Elizabethton, TN
  • NPI 1851523641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1083846984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3700",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023700",
            "telephone_number": "423-302-1350",
            "fax_number": "423-952-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE",
            "address_2": "SUITE 21",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432895",
            "telephone_number": "423-542-7420",
            "fax_number": "423-542-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TIFFANY",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014278",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024170252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515754",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083846984",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iron Mountain Counseling & Consultation, LLC
• Ivy Hall, Inc
• Patti Yvonne Jacobs, RN0000144931
• James Lee Davenport
• Trey Jansen, PT, DPT, ATC, CSCS
• Kristen Jewett, SLP
• Jlwchiro-TN PLLC
• Cassidy Savannah Johnson, FNP-C
• Hannah Johnson
• Kristen Jolley Johnson

• Family Nurse Practitioner in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.

Verify at the official NPI Registry.