Jessica Harp
Individual provider Active NPI Family Nurse Practitioner · S Pittsburg, TN
NPI 1285189571 · NPPES record last updated Aug 17, 2016
Key facts
- NPI
- 1285189571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21625 (TN)
- Practice address
- 201 E 10TH St
S Pittsburg, TN 37380-1497 - Phone
- (423) 837-7981
- Fax
- (423) 837-1814
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- En LLC
Palliative Care Services, PLLC
Practice addresses (Care Compare)
1635 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-4983
Phone (423) 541-5102
2030 Hamilton Place Blvd
Suite 220
Chattanooga, TN 37421-6040
Phone (423) 892-4289
Hospital & facility affiliations
- Memorial Healthcare System, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824002140 | TN | Practitioner - Nurse Practitioner | 1456646850 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21625 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| En LLC | Current |
Accepting new patients | |
| Vip 2U, LTD. | Current |
Accepting new patients | |
| Palliative Care Services, PLLC | Current |
Accepting new patients | |
| En LLC | Current |
Accepting new patients |
Locations
1635 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 541-5102
2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 553-1823
200 W Martin Luther King Blvd
Ste 1000
Chattanooga, TN 37402
Phone (423) 269-2255
500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21625 | TN | Yes |
Addresses
Primary practice location
201 E 10TH St
S Pittsburg, TN 37380-1497
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7364
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.