NPIMap

Individual provider Active NPI

Jennifer C Dyer, CFNP

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1194246876
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22723 Issued in TN
Practice address
155 Health Way Ste 1
McMinnville, TN 37110-2668
Phone
(931) 473-5394
Fax
(931) 473-5865
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 22723 TN Primary

Addresses

Primary practice location

155 Health Way Ste 1
McMinnville, TN 37110-2668

Mailing address

155 Health Way Ste 1
McMinnville, TN 37110-2668
Phone (931) 473-5394

Other identifiers 1

IdentifierTypeStateIssuer
22723OtherTNNURSE PRACTITIONER WITH CERTFICATE OF FITNESS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213001965 TN Practitioner - Nurse Practitioner 2163782160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Tennessee LLCGroup PAC ID 0547667552, 141 clinicians

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

Hospital & facility affiliations

  • NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114
  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22723TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Group of McMinnville, P.C. CurrentSince Sep 12, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince May 1, 2018 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Oct 11, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Oct 11, 2022 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 1, 2018 Accepting new patients

Locations

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

155 Health Way
Ste 1
McMinnville, TN 37110
Phone (931) 473-5394

2200 Murphy Ave
#B
Nashville, TN 37203
Phone (615) 342-5840

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25094/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dyer.jennifer.1@25094.direct.athenahealth.com

Organizations & group practices 12

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 9

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194246876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HEALTH WAY STE 1",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102668",
            "telephone_number": "931-473-5394",
            "fax_number": "931-473-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HEALTH WAY STE 1",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102668",
            "telephone_number": "931-473-5394",
            "fax_number": "931-473-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER WITH CERTFICATE OF FITNESS",
            "identifier": "22723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.