Individual provider Active NPI

Saharra D Jewell, APN

  • Nurse Practitioner
  • Winchester, TN
National Provider Identifier
1336337666
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7914 Issued in TN
Practice address
161 Shirley Dr
Winchester, TN 37398-2256
Phone
(931) 455-0247
NPI assigned
Oct 11, 2007
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7914 TN Primary

Addresses

Primary practice location

161 Shirley Dr
Winchester, TN 37398-2256

Mailing address

161 Shirley Dr
Winchester, TN 37398-2256
Phone (931) 455-0247

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080222000536 TN Practitioner - Nurse Practitioner 8022192483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Myers MD PCGroup PAC ID 7214120872, 4 clinicians

Practice addresses (Care Compare)

161 Shirley Dr
Winchester, TN 37398-2256
Phone (931) 962-0450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7914TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Myers MD PC CurrentSince Oct 19, 2015 Accepting new patients

Locations

1034 McArthur St
Manchester, TN 37355
Phone (931) 728-3445

106 Westside Dr
Ste A
Tullahoma, TN 37388

1805 N Jackson St
Ste 6
Tullahoma, TN 37388
Phone (931) 455-0247

161 Shirley Dr
Winchester, TN 37398
Phone (931) 962-0450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.