Amy Jenkins LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APN0000007617 Issued in TN

Legal business name

AMY JENKINS LLC

Practice address

413 Devonia St
Harriman, TN 37748-2010

Phone

(865) 590-7453

NPI assigned

Aug 5, 2014

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Adcox Jenkins, FNPNPI 1750417242

Title

Owner

Phone

(865) 590-7453

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy A Jenkins, FNP

  • Family Nurse Practitioner
  • Harriman, TN
  • NPI 1750417242
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1144639154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482010",
            "telephone_number": "865-590-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482010",
            "telephone_number": "865-590-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY JENKINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ADCOX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-590-7453",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000007617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Harriman, TN
• Providers in Harriman, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.