Individual provider Active NPI

Jammie Amanda Dill, ACNP-BC

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1114235231
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN 15196 Issued in TN
Practice address
975 E 3Rd St # 247
Trauma Services Department
Chattanooga, TN 37403-2147
Phone
(423) 778-6742
Fax
(423) 778-6313
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20121203000039 TN Practitioner - Nurse Practitioner 2466603147 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15196TNMDPhysical Therapist
APN 15196TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 1, 2012 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 1, 2012 Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients
Hargrave Emergency Physicians LLC Past Accepting new patients
Emergency Physicians PC Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

1755 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 778-8400

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1755 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 778-8500

975 E 3rd St
#247
Chattanooga, TN 37403
Phone (423) 778-6742

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN 15196 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

975 E 3Rd St # 247
Trauma Services Department
Chattanooga, TN 37403-2147

Mailing address

975 E 3Rd St # 247
Trauma Services Department
Chattanooga, TN 37403-2147
Phone (423) 778-6742

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2010.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1114235231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 247",
            "address_2": "TRAUMA SERVICES DEPARTMENT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-6742",
            "fax_number": "423-778-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 247",
            "address_2": "TRAUMA SERVICES DEPARTMENT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-6742",
            "fax_number": "423-778-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "JAMMIE",
        "middle_name": "AMANDA",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN 15196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.