Individual provider Active NPI

Jennifer Christina Cupp, FNP-BC

  • Family Nurse Practitioner
  • Washburn, TN
National Provider Identifier
1306289715
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN17586 Issued in TN
Practice address
7719 Highway 131
Washburn, TN 37888-4055
Phone
(865) 497-2591
Fax
(865) 497-3803
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN153481 TN
Family Nurse Practitioner 363LF0000X APN17586 TN Primary

Addresses

Primary practice location

7719 Highway 131
Washburn, TN 37888-4055

Mailing address

6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565

Other names 1

  • Jennifer Christina Williams Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.cupp.p1@direct.cherokeehealth.nextgenshare.com Direct

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
I20130529000290 TN Practitioner - Nurse Practitioner 5799923041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

6350 W Andrew Johnson Hwy
Dept 100
Talbott, TN 37877-8605
Phone (423) 586-5031

Hospital & facility affiliations

  • Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN153481TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Apr 15, 2013 Accepting new patients
Cherokee Health Systems CurrentSince Apr 15, 2013 Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

815 W 5th North St
Morristown, TN 37814
Phone (423) 586-5032

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

7719 Highway 131
Washburn, TN 37888
Phone (865) 497-2591

Interoperability endpoints

  • Direct secure messaging: jennifer.cupp.p1@direct.cherokeehealth.nextgenshare.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1306289715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "address_2": "DEPARTMENT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 HIGHWAY 131",
            "city": "WASHBURN",
            "state": "TN",
            "postal_code": "378884055",
            "telephone_number": "865-497-2591",
            "fax_number": "865-497-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN153481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN17586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.cupp.p1@direct.cherokeehealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message Address",
            "address_1": "1285 Highway 11W",
            "city": "Bean Station",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377085810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLIAMS",
            "middle_name": "CHRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washburn, TN

Sources for this page

Verify at the official NPI Registry.