Individual provider Active NPI

Jenny Cavitch, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1265713689
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015957 Issued in TN
Practice address
7514 Corporate Center Dr Ste 100
Germantown, TN 38138-3877
Phone
(901) 757-5333
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 APN0000015957 TN Primary

Addresses

Primary practice location

7514 Corporate Center Dr Ste 100
Germantown, TN 38138-3877

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

3685 S Houston Levee Rd
Collierville, TN 38017-9014
Phone (901) 457-2933

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
I20120530000372 TN Practitioner - Nurse Practitioner 9335302413 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Grove Medical Associates,LLC CurrentSince Jul 23, 2012 Accepting new patients
Professional Imaging of Tennessee PastSince Jan 12, 2020 Accepting new patients

Locations

301 Wolverine Trl
Ste 100
Smyrna, TN 37167
Phone (615) 459-6700

301 Wolverine Trl
Ste 10
Smyrna, TN 37167
Phone (615) 459-6700

Organizations & group practices 3

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1265713689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 CORPORATE CENTER DR STE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383877",
            "telephone_number": "901-757-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3685 S Houston Levee Rd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380179014",
            "country_code": "US",
            "telephone_number": "901-457-2933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVITCH",
        "first_name": "JENNY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.