Dana Andrea Jackson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN24018 Issued in TN

Practice address

215 S Anderson St
Tullahoma, TN 37388-3735

Phone

(931) 563-7464

Fax

(931) 563-7401

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TLC Family Health and HormonepllcGroup PAC ID 8729327317, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
• Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• TLC Family Health & Hormone PLLC

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1164993689
  Medicare reassignment Care Compare group NPD Authorized official
• Oaklen Family Medicine PLLC

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1104380856
  NPD (past)

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

• Southern Tennessee Medical Center LLC

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation
• Vanderbilt Coffee Hospital, LLC

  • General Acute Care Hospital
  • Tullahoma, TN
  • NPI 1831798719
  Care Compare affiliation

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1306330840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373980326",
            "telephone_number": "931-563-7464",
            "fax_number": "931-563-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S ANDERSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883735",
            "telephone_number": "931-563-7464",
            "fax_number": "931-563-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANA",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN24018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Iorio
• J&K Services LLC
• Brett Jackson, FNP
• Charles Michael Jackson
• Cynthia Jackson
• Jan L Crean MD Facog OB/GYN PC
• Julia Carol Jernigan
• Natalie Christine Jezior
• Joel C Wieczorek DDS PC
• John D Patsimas MD

• Family Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.

Verify at the official NPI Registry.