Active NPI
Jane Audrey Graf Robison, APRN, ARNP, BC-FNP
- Family Nurse Practitioner
- Clarksville, TN
National Provider Identifier
1114911138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000005854
- 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, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00890031 | Other | KY | HUMANA |
| A630 | Other | KY | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02414P | KY | MD | Family Nurse Practitioner |
| APN0000005854 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Memorial Hospital | Past | Accepting new patients | |
| Logan Memorial Hospital LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Logan Care for Women
- Obstetrics & Gynecology Physician
- Russellville, KY
- NPI 1245263631
-
dba Logan Memorial Hospital
- Rural Acute Care Hospital
- Russellville, KY
- NPI 1992893416
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.