Individual provider Active NPI

Jennifer R. Weber, GNP, MSN

  • Gerontology Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1336104645
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
7895 Issued in TN
Practice address
2021 Church St
Suite 104
Nashville, TN 37203-2021
Phone
(615) 342-0038
Fax
(615) 329-4469
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 123260 TN
Gerontology Nurse Practitioner 363LG0600X 7895 TN Primary

Addresses

Primary practice location

2021 Church St
Suite 104
Nashville, TN 37203-2021

Mailing address

2021 Church St
Suite 104
Nashville, TN 37203-2021
Phone (615) 342-0038

Other identifiers 1

IdentifierTypeStateIssuer
4079335OtherBLUE CROSS/BLUE SHIELD

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
123260TNMDRegistered Nurse
7895TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgefield Rehabilitation, LLC Past Accepting new patients
Rolling Hills Hospital LLC Past Accepting new patients
Southern Sports Medicine and Orthopaedic Center, P.C. Past Accepting new patients

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336104645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-342-0038",
            "fax_number": "615-329-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-342-0038",
            "fax_number": "615-329-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "GNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "123260",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "7895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4079335",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.