Active NPI
Jodi Nicole Mehlenbacher, APN
- Family Nurse Practitioner
- Ooltewah, TN
National Provider Identifier
1114365871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000017615
- Practice address
- 9203 Lee Highway, Suite 9
Ooltewah, TN 37363 - Phone
- (423) 238-4700
- Fax
- (423) 238-4747
- NPI assigned
- Jun 4, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000017615 | TN | Primary |
Addresses
Primary practice location
9203 Lee Highway, Suite 9
Ooltewah, TN 37363
Mailing address
324 Carriage Parc Drive
Chattanooga, TN 37421
Phone (423) 619-6017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000017615 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klinner Enterprises | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Ooltewah, TN
- NPI 1407099716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1114365871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CARRIAGE PARC DRIVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-619-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9203 LEE HIGHWAY, SUITE 9",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "37363",
"telephone_number": "423-238-4700",
"fax_number": "423-238-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHLENBACHER",
"first_name": "JODI",
"middle_name": "NICOLE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000017615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.