Organization Active NPI

Jenifer Kurtz MD PC

  • Nursing Facility/Intermediate Care Facility
  • Knoxville, TN
National Provider Identifier
1336148816
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
MD0000031607 Issued in TN
Legal business name
JENIFER KURTZ MD PC
Practice address
3608 Bluff Point Dr
Knoxville, TN 37920-2806
Phone
(865) 573-4794
Fax
(865) 573-4794
NPI assigned
Jul 18, 2005
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Mr. Charles Thomas Alcorn
Title
Office Manager
Phone
(865) 573-4794

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X MD0000031607 TN Primary
Skilled Nursing Facility 314000000X MD0000031607 TN
Inpatient Hospice 315D00000X MD0000031607 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

IdentifierTypeStateIssuer
3841499MedicaidTN

National Provider Directory

National Provider Directory

Locations

3916 Boyds Bridge Pike
Knoxville, TN 37914
Phone (865) 523-1500

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1336148816",
    "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": {
        "organization_name": "JENIFER KURTZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-573-4794",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "MD0000031607",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "MD0000031607",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TN",
            "license": "MD0000031607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3841499",
            "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.

Verify at the official NPI Registry.