Individual provider Active NPI

Jenifer Deshea Huffines, FNP-BC

  • Family Nurse Practitioner
  • Lafayette, TN
National Provider Identifier
1154576825
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN13760 Issued in TN
Practice address
602 Red Boiling Springs Rd
Lafayette, TN 37083-1316
Phone
(615) 688-9500
Fax
(615) 688-9501
NPI assigned
Nov 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN133741 TN
Family Nurse Practitioner 363LF0000X APN13760 TN Primary

Addresses

Primary practice location

602 Red Boiling Springs Rd
Lafayette, TN 37083-1316

Mailing address

209 College St
Lafayette, TN 37083-1701
Phone (615) 666-2056

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
I20090616000275 TN Practitioner - Nurse Practitioner 2365592268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Hometown Healthcare 2 clinicians

Practice addresses (Care Compare)

602 Red Boiling Springs Rd
Lafayette, TN 37083-1316
Phone (615) 688-9500

Hospital & facility affiliations

  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN133741TNMDRegistered Nurse
APN13760TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A1 Healthcare PastSince Jan 6, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.huffines.1@16055.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1154576825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056",
            "fax_number": "615-666-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RED BOILING SPRINGS RD",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831316",
            "telephone_number": "615-688-9500",
            "fax_number": "615-688-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFINES",
        "first_name": "JENIFER",
        "middle_name": "DESHEA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-23",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN133741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN13760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

Verify at the official NPI Registry.