Active NPI
Jenifer A Kurtz, MD
- Geriatric Medicine (Internal Medicine) Physician
- Knoxville, TN
National Provider Identifier
1326079708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD31607
- Practice address
- 3608 Bluff Point Dr
Knoxville, TN 37920-2806 - Phone
- (865) 573-4794
- Fax
- (865) 573-4794
- NPI assigned
- Jul 5, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD31607 | TN | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD31607 | TN |
Addresses
Primary practice location
3608 Bluff Point Dr
Knoxville, TN 37920-2806
Mailing address
PO Box 391
Knoxville, TN 37901-0391
Phone (865) 573-4794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3841490 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD31607 | TN | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1326079708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 391",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379010391",
"telephone_number": "865-573-4794",
"fax_number": "865-573-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3608 BLUFF POINT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379202806",
"telephone_number": "865-573-4794",
"fax_number": "865-573-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "JENIFER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TN",
"license": "MD31607",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TN",
"license": "MD31607",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3841490",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.