Individual provider Active NPI

Jennifer P Greene, FNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1104912260
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
12273 Issued in TN
Practice address
740 Middle Creek Rd
Suite 200
Sevierville, TN 37862-5053
Phone
(865) 908-9888
Fax
(865) 908-8756
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 12273 TN Primary

Addresses

Primary practice location

740 Middle Creek Rd
Suite 200
Sevierville, TN 37862-5053

Mailing address

740 Middle Creek Rd
Suite 200
Sevierville, TN 37862-5053
Phone (865) 908-9888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000567 TN Practitioner - Nurse Practitioner 5890861231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Sanders Perinatal CenterGroup PAC ID 3577505536, 34 clinicians

Practice addresses (Care Compare)

740 Middle Creek Rd
Suite 200
Sevierville, TN 37862-5056
Phone (865) 908-9888

Hospital & facility affiliations

  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12273TNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Perinatal Center CurrentSince Nov 23, 2021 Accepting new patients

Locations

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

Dept 888247
Knoxville, TN 37995

740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1104912260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MIDDLE CREEK RD",
            "address_2": "SUITE 200",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625053",
            "telephone_number": "865-908-9888",
            "fax_number": "865-908-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MIDDLE CREEK RD",
            "address_2": "SUITE 200",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625053",
            "telephone_number": "865-908-9888",
            "fax_number": "865-908-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "12273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.