Individual provider Active NPI

Jane Audrey Graf Robison, APRN, ARNP, BC-FNP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1114911138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005854 Issued in TN
Practice address
346 Union St
Clarksville, TN 37040-3659
Phone
(931) 648-2444
Fax
(931) 572-1538
NPI assigned
Sep 6, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000005854 TN Primary
Family Nurse Practitioner 363LF0000X 02414P KY

Addresses

Primary practice location

346 Union St
Clarksville, TN 37040-3659

Mailing address

1904 Pickens Rd
Clarksville, TN 37040-6021
Phone (931) 645-5397

Other identifiers 2

IdentifierTypeStateIssuer
00890031OtherKYHUMANA
A630OtherKYBLUE CROSS/BLUE SHIELD

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
02414PKYMDFamily Nurse Practitioner
APN0000005854TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Memorial Hospital Past Accepting new patients
Logan Memorial Hospital LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26087/brand/2/csg/21/fhir/r4

Organizations & group practices 2

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114911138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PICKENS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406021",
            "telephone_number": "931-645-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 UNION ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403659",
            "telephone_number": "931-648-2444",
            "fax_number": "931-572-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "JANE",
        "middle_name": "AUDREY GRAF",
        "name_prefix": "Ms.",
        "credential": "APRN, ARNP, BC-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005854",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "02414P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "00890031",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "A630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.