Jordan Elizabeth Cooke, APN
Individual provider Active NPI Family Nurse Practitioner · Powell, TN
NPI 1295543882 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1295543882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 36636 (TN)
- Practice address
- 233 E Emory Rd Ste 111
Powell, TN 37849-4059 - Phone
- (865) 250-0135
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Lincoln Memorial University Medical Department, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Health System, Inc.
Afc TN Medical Group PC
Practice addresses (Care Compare)
1926 Alcoa Hwy
Suite 300
Knoxville, TN 37920-1555
Phone (865) 971-3539
233 E Emory Rd
Suite 111
Powell, TN 37849-4059
Phone (865) 250-0135
Hospital & facility affiliations
- University Health 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 |
|---|---|---|---|---|
| I20250306003040 | TN | Practitioner - Nurse Practitioner | 8426588534 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36636 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc TN Medical Group PC | Current |
Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Harper Medical Group, PC | Current |
Accepting new patients | |
| University Health System, Inc | Current |
Accepting new patients | |
| University Health System Inc | Current |
Accepting new patients | |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients |
Locations
1926 Alcoa Hwy
Ste 300
Knoxville, TN 37920
Phone (865) 544-9218
5779 Creekwood Park Blvd
Ste 215
Lenoir City, TN 37772
Phone (865) 251-4658
5475 Poplar Ave
Ste 106
Memphis, TN 38119
Phone (901) 254-8040
233 E Emory Rd
Ste 111
Powell, TN 37849
Phone (865) 250-0135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 36636 | TN | Yes |
Addresses
Primary practice location
233 E Emory Rd Ste 111
Powell, TN 37849-4059
Mailing address
233 E Emory Rd Ste 111
Powell, TN 37849-4059
Phone (865) 250-0135
Other providers in Powell, TN
- Molly Ann Coker
- Elick Jan Combs III
- Benjamin Lee Conaway
- Johnson Yates Congleton
- Lee Congleton III
- Kathryn M Coombes
- Adam Blake Cowan-Banker
- David Allan Cox
- Jimmy Dean Cox
- Diane Elizabeth Crabb
All providers in Powell, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. 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.