Individual provider Active NPI

Jennifer Michelle Daughtrey

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1265065890
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26980 Issued in TN
Practice address
5319 Ringgold Rd Ste C
Chattanooga, TN 37412-3191
Phone
(423) 664-1120
Fax
(423) 760-8086
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000026980 TN
Family Nurse Practitioner 363LF0000X 26980 TN Primary

Addresses

Primary practice location

5319 Ringgold Rd Ste C
Chattanooga, TN 37412-3191

Mailing address

3270 Ozark Cir
Chattanooga, TN 37415-5108

Other identifiers 2

IdentifierTypeStateIssuer
APN0000026980OtherTNADVANCED PRACTICE REGISTERED NURSE
F1190882OtherAMERICAN ACADEMY OF NURSE PRACTITIONER CERTIFICATION BOARD

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
I20200917001398 TN Practitioner - Nurse Practitioner 1355769779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000026980TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Oct 11, 2022 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Oct 11, 2022 Accepting new patients

Locations

419 N Market St
Ste 100
Chattanooga, TN 37405
Phone (423) 414-3012

2021 Hamilton Place Blvd
Ste G
Chattanooga, TN 37421
Phone (423) 899-6222

4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500

455 Chickamauga Dr
Ste 104
Dayton, TN 37321
Phone (423) 570-0252

403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700

4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700

6942 Maynardville Pike
Knoxville, TN 37918
Phone (865) 292-6590

524 Market Dr
Lenoir City, TN 37771
Phone (865) 988-0096

525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265

2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

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.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1265065890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 OZARK CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374155108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 RINGGOLD RD STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123191",
            "telephone_number": "423-664-1120",
            "fax_number": "423-760-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTREY",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000026980",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "APN0000026980",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONER CERTIFICATION BOARD",
            "identifier": "F1190882",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.