Saharra D Jewell, APN

Key facts

NPI

1336337666

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

7914 (TN)

Practice address

161 Shirley Dr
Winchester, TN 37398-2256

Phone

(931) 455-0247

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Bryan Myers MD PC Obstetrics & Gynecology Physician · Winchester, TN · NPI 1316258809
  Medicare reassignment Care Compare group NPD TN

Hospital & facility affiliations 2

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

• Coffee Medical Group LLC Rural Acute Care Hospital · Manchester, TN · NPI 1013969179
  Care Compare affiliation Hospital
• Southern Tennessee Medical Center LLC General Acute Care Hospital · Winchester, TN · NPI 1467408781
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Myers MD PC (4 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Winchest Hospital · Winchester, TN · CCN 440058
• Unity Medical Center Hospital · Manchester, TN · CCN 440007

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 2, 2015.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1336337666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-455-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SHIRLEY DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982256",
            "telephone_number": "931-455-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "SAHARRA",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "7914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621763648",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Winchester, TN · Nurse Practitioner in Tennessee