Jessica Ingram Terrell, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

19778 Issued in TN

Practice address

254 Tiger Dr
Smithville, TN 37166-6812

Phone

(615) 597-7559

Fax

(615) 597-1349

NPI assigned

Mar 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of Tennessee

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  Medicare reassignment NPD
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee

  dba Upper Cumberland Regional Clinic

  • Public Health or Welfare Agency
  • Cookeville, TN
  • NPI 1598817017
  NPD
• State of Tennessee

  dba DeKalb County Health Department

  • Federally Qualified Health Center (FQHC)
  • Smithville, TN
  • NPI 1437200474
  NPD (past)

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1154714160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-528-7531",
            "fax_number": "931-520-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 TIGER DR",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371666812",
            "telephone_number": "615-597-7559",
            "fax_number": "615-597-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JESSICA",
        "middle_name": "INGRAM",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19778",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncrest Healthcare of East Tennessee, LLC (Beacon Home Health)
• Prashanth Swamy, M.D.
• Mitchell Scott Tatum, D.D.S,
• Tennessee Bone & Joint Clinic, PC
• Tennessee Oncology Pharmacy Dispensing
• The Webb House Retirement Center, Inc
• Timothy D Tobitt, DPH, FNP-C, CEO
• Brenda Ann Tramel, FNP-BC
• Charlie Paul Tramel, MPT
• Monica Denise Turner, RN

• Nurse Practitioner in Smithville, TN
• Providers in Smithville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.