Active NPI
Jennifer Christina Cupp, FNP-BC
- Family Nurse Practitioner
- Washburn, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN17586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Morristown Hamblen Hospital Association
- Claiborne Medical Center
- Tennova Healthcare-Jefferson Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153481 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
-
- Federally Qualified Health Center (FQHC)
- Morristown, TN
- NPI 1043457161
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tazewell, TN
- NPI 1639149586
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.