Individual provider Active NPI

Jennifer H Coates, APRN-FNP-C

  • Family Nurse Practitioner
  • Centerville, TN
National Provider Identifier
1275228207
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33299 Issued in TN
Practice address
1140 Highway 100
Centerville, TN 37033-1139
Phone
(931) 729-5551
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33299 TN Primary
Registered Nurse 163W00000X 200794 TN

Addresses

Primary practice location

1140 Highway 100
Centerville, TN 37033-1139

Mailing address

3701 Piney Rd
Nunnelly, TN 37137-2769

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
I20230419000675 TN Practitioner - Nurse Practitioner 8921473281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

2377 Fairview Blvd
Fairview, TN 37062-6003
Phone (615) 799-0101

301 W Main St
Waverly, TN 37185-1512
Phone (615) 988-1571

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33299TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 29, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 29, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1140 Highway 100
Centerville, TN 37033
Phone (931) 729-5551

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1275228207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 PINEY RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HIGHWAY 100",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331139",
            "telephone_number": "931-729-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33299",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "200794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, TN

Sources for this page

Verify at the official NPI Registry.