Individual provider Active NPI

Jessica Robbins, DNP

  • Pediatric Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1306200738
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
21158 Issued in TN
Practice address
3180 Professional PLZ Ste 111
Germantown, TN 38138-1534
Phone
(901) 854-5455
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 21158 TN Primary

Addresses

Primary practice location

3180 Professional PLZ Ste 111
Germantown, TN 38138-1534

Mailing address

2526 Lutonwood CV
Germantown, TN 38139-6648
Phone (985) 640-7670

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
I20160810002879 TN Practitioner - Nurse Practitioner 1951695147 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21158TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Independent Group, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Southeastern Emergency Services P C Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Collierville Pediatrics, LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

2028 W Poplar Ave
Ste 112
Collierville, TN 38017
Phone (901) 755-2900

3180 Professional Plz
Ste 111
Germantown, TN 38138
Phone (901) 582-8876

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1306200738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 LUTONWOOD CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396648",
            "telephone_number": "985-640-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PROFESSIONAL PLZ STE 111",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381534",
            "telephone_number": "901-854-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "21158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.