Jennifer Marie Justus, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26167 Issued in TN

Practice address

317 Seven Springs Way Ste 205
Brentwood, TN 37027-4991

Phone

(615) 678-4638

Fax

(615) 678-4671

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 16, 2021 through Dec 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.justus@160225732067332.direct.elationemr.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.

• Brentwood MD LLC

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1689522294
  NPD
• Wenzel Holdings, LLC

  • Adult Medicine Physician
  • Brentwood, TN
  • NPI 1932531688
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1164074092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 205",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274991",
            "telephone_number": "615-678-4638",
            "fax_number": "615-678-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 205",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274991",
            "telephone_number": "615-678-4638",
            "fax_number": "615-678-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarete Juliana, LMFT
• Julie H Griggs PHD
• June Diversified Holdings Group Inc
• Ruth Juneau, M.ED., NCC
• Justin Ard DC PLLC
• Candi Rene Kaatz, LMFT
• Anika Kadakia
• Anna Kadik
• Sivakumar Kalyana Sundaram
• Maureen Rose Kane, DC

• Family Nurse Practitioner in Brentwood, TN
• Providers in Brentwood, 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 Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.