Jodi Watson Rose, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000020261 Issued in TN

Practice address

2253 Chambliss Ave NW Ste 301
Cleveland, TN 37311-3961

Phone

(423) 476-5002

Fax

(423) 339-4466

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jodi L Watson Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jodi.watson-rose.1@4694.direct.athenahealth.com
• Direct secure messaging: jodi.rose.1@31613.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
• Direct secure messaging: jodi.watson.1@1525.direct.athenahealth.com

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.

• Bradley Physician Services, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1710727540
  Medicare reassignment Care Compare group
• Knoxville Hma Physician Management, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1629356969

  Family

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Chattanooga, TN
  • NPI 1326096009
  Care Compare affiliation

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1124494513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 301",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113961",
            "telephone_number": "423-476-5002",
            "fax_number": "423-339-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 301",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113961",
            "telephone_number": "423-476-5002",
            "fax_number": "423-339-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JODI",
        "middle_name": "WATSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022271",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi.watson.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2253 Chambliss Ave NW Ste 301",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373113961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "WATSON",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kasie L Rogers, BEHAVIOR TECHNICIAN
• Alex George Romaniuk, MD
• Rhonda V Roper, L.C.S.W.
• Jennifer A. Rose, FNP
• Jessica Marie Rose, APRN
• Kyley Rose
• Elizabeth Underwood Rosenberger, MD
• Sharon Rotnem
• Marian Wilson Rowland, APN
• Walter Rucker, MD

• Family Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.