Individual provider Active NPI

Jessica Myatt, APRN, FNP

  • Primary Care Nurse Practitioner
  • Pleasant View, TN
National Provider Identifier
1114536182
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
27910 Issued in TN
Practice address
254 Ren Mar Dr
Pleasant View, TN 37146-3722
Phone
(615) 746-0203
NPI assigned
Jul 27, 2020
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 216509 TN
Nurse Practitioner 363L00000X 27910 TN
Primary Care Nurse Practitioner 363LP2300X 27910 TN Primary
Emergency Registered Nurse 163WE0003X 216509 TN

Addresses

Primary practice location

254 Ren Mar Dr
Pleasant View, TN 37146-3722

Mailing address

254 Ren Mar Dr
Pleasant View, TN 37146-3722

Other practice location 1

330 Franklin Rd Ste 135-A270
Brentwood, TN 37027-3280
Phone (615) 274-9767

Other practice location 2

350 Pageant Ln
Clarksville, TN 37040-8606
Phone (931) 906-2001

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
I20210415000346 TN Practitioner - Nurse Practitioner 6103234968 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216509TNMDEmergency Registered Nurse
27910TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory and Occupational Health Clinic PC CurrentSince Oct 27, 2024 Accepting new patients
Emergency Medicine Services of TN, PC CurrentSince Apr 1, 2023 Accepting new patients
Iris Medical Group Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Clarksville Montgomery County School System Past Accepting new patients
Iris Medical Group Kentucky LLC PastSince Mar 17, 2024 Accepting new patients
Iris Wound Care, PC Nurse Practitioner Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

2302 Madison St
Clarksville, TN 37043
Phone (931) 245-2400

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: jessica.myatt.1@32073.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1114536182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 REN MAR DR",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371463722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 REN MAR DR",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371463722",
            "telephone_number": "615-746-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Franklin Rd Ste 135-A270",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370273280",
            "country_code": "US",
            "telephone_number": "615-274-9767",
            "fax_number": "615-807-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Pageant Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370408606",
            "country_code": "US",
            "telephone_number": "931-906-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYATT",
        "first_name": "JESSICA",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "216509",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27910",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "27910",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "216509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, TN

Sources for this page

Verify at the official NPI Registry.