Active NPI
Jocelyn Dodson
- Family Nurse Practitioner
- Harriman, TN
National Provider Identifier
1164087540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24751
- Practice address
- 521 Devonia St
Harriman, TN 37748-2116 - Phone
- (865) 234-6053
- NPI assigned
- May 1, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24751 | TN | MD | Family Medicine Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24751 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
521 Devonia St
Harriman, TN 37748-2116
Mailing address
PO Box 4101
Oak Ridge, TN 37831-4101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2020.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1164087540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4101",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378314101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 DEVONIA ST",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377482116",
"telephone_number": "865-234-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "JOCELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.