Individual provider Active NPI

Jennifer Kidd, ARNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1174936009
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24248 Issued in TN
Practice address
1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone
(901) 755-9110
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24248 TN Primary

Addresses

Primary practice location

1324 Wolf Park Dr
Germantown, TN 38138-1741

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630

Other practice location 2

3350 N Germantown Rd
Bartlett, TN 38133-4026
Phone (901) 377-2111

Other practice location 3

1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540
Phone (901) 261-6650

Other identifiers 1

IdentifierTypeStateIssuer
Q036406MedicaidTN

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
I20180815003338 TN Practitioner - Nurse Practitioner 3678799186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

8000 Wolf River Blvd
Suite 200
Germantown, TN 38138-1755
Phone (901) 684-5503

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24248TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Gastroenterology Center of the Midsouth PLLC Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

3350 N Germantown Rd
Bartlett, TN 38133
Phone (901) 377-2111

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1324 Wolf Park Dr
Germantown, TN 38138
Phone (901) 755-9110

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

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 6

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1174936009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 WOLF PARK DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381741",
            "telephone_number": "901-755-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Wolf River Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381755",
            "country_code": "US",
            "telephone_number": "901-747-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 N Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334026",
            "country_code": "US",
            "telephone_number": "901-377-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Eastmoreland Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047540",
            "country_code": "US",
            "telephone_number": "901-261-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDD",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036406",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.