Individual provider Active NPI

Connie S. Lee, FNP-C

  • Family Nurse Practitioner
  • Jamestown, TN
National Provider Identifier
1215239231
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15369 Issued in TN
Practice address
418B Central Ave W
Jamestown, TN 38556-3031
Phone
(931) 879-8794
Fax
(931) 879-8887
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 15369 TN Primary

Addresses

Primary practice location

418B Central Ave W
Jamestown, TN 38556-3031

Mailing address

418 B West Central Ave
P.O. Box 950
Jamestown, TN 38556
Phone (931) 879-8794

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
I20110214000592 TN Practitioner - Nurse Practitioner 9739369356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Family Medical Clinic PLLCGroup PAC ID 9436393279, 3 clinicians

Practice addresses (Care Compare)

418 B Central Ave W
Jamestown, TN 38556-3031
Phone (931) 879-8794

Hospital & facility affiliations

  • Quality Home Health Home health agency, Jamestown, TN, CCN 447406
  • Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15369TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chad a Conatser MD PLLC CurrentSince Oct 17, 2016 Accepting new patients
Hometown Family Medical Clinic PLLC Family CurrentSince Jul 8, 2013 Accepting new patients

Locations

418 Central Ave W
#B
Jamestown, TN 38556
Phone (931) 248-1414

418B Central Ave W
Jamestown, TN 38556
Phone (931) 879-8794

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hometown Family Medical Clinic PLLCJamestown, TN, CCN 883973 Rural health clinic 5% Or Greater Direct Ownership Interest (16.7%)
Operational/Managerial Control (16.7%)
Jun 16, 2023
Jun 16, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1215239231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 B WEST CENTRAL AVE",
            "address_2": "P.O. BOX 950",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-8794",
            "fax_number": "931-879-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418B CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563031",
            "telephone_number": "931-879-8794",
            "fax_number": "931-879-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CONNIE",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

Verify at the official NPI Registry.