Individual provider Active NPI

Jennifer Stewart, FNP-BC

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1336669472
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27511 Issued in TN
Practice address
2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891
Phone
(931) 272-2446
Fax
(855) 530-6144
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP10247 AZ
Family Nurse Practitioner 363LF0000X 27511 TN Primary

Addresses

Primary practice location

2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891

Mailing address

2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891
Phone (931) 272-2446

Other practice location 1

114 Flatrock Dr
Enterprise, AL 36330-4457
Phone (334) 494-1043

Other identifiers 1

IdentifierTypeStateIssuer
Q066362MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@restoringhealthclinic.com Direct RESTORING HEALTH CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180511001079 AL Practitioner - Nurse Practitioner 1456615848 Reassigns benefits to 1 organization
I20210601002054 TN Practitioner - Nurse Practitioner 1456615848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

1193 Fort Campbell Blvd
Suite a
Clarksville, TN 37042-8881
Phone (931) 557-3026

1690 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone (931) 648-4838

2006 Memorial Blvd
Suite 101
Springfield, TN 37172-3905
Phone (615) 380-8411

2147 Wilma Rudolph Blvd
Clarksville, TN 37040-6663
Phone (931) 241-4115

2224 Madison St
Suite B
Clarksville, TN 37043-8043
Phone (931) 503-7015

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10247AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring Health Clinic Single Specialty CurrentSince Nov 14, 2022 Accepting new patients
Houston County Healthcare Authority Single Specialty CurrentSince Oct 28, 2017 Accepting new patients
Crossroads Urgent Care PLLC Single Specialty CurrentSince Aug 3, 2024 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince May 26, 2021 Accepting new patients
Houston County Healthcare Authority Single Specialty Current Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Aug 3, 2024 Accepting new patients
Houston County Healthcare Authority Single Specialty Current Accepting new patients
Afc Physicians of Tennessee, PC Single Specialty CurrentSince May 26, 2021 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1245 Westgate Pkwy
Dothan, AL 36303
Phone (334) 793-9595

2147 Wilma Rudolph Blvd
Ste 102
Clarksville, TN 37040
Phone (931) 241-4115

2237 Lowes Dr W
Ste A
Clarksville, TN 37040
Phone (931) 272-2446

1466 Tiny Town Rd
Ste C
Clarksville, TN 37042
Phone (931) 503-7093

1763 Madison St
Clarksville, TN 37043
Phone (931) 278-8000

1690 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 648-4838

311 Landrum Pl
Ste 500C
Clarksville, TN 37043
Phone (931) 272-2446

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

2662 Memorial Blvd
Springfield, TN 37172
Phone (615) 380-8411

2006 Memorial Blvd
Ste 101
Springfield, TN 37172
Phone (615) 380-8411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11153/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1336669472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 LOWES DR W STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406891",
            "telephone_number": "931-272-2446",
            "fax_number": "855-530-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 LOWES DR W STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406891",
            "telephone_number": "931-272-2446",
            "fax_number": "855-530-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Flatrock Dr",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363304457",
            "country_code": "US",
            "telephone_number": "334-494-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10247",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066362",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@restoringhealthclinic.com",
            "affiliation": "Y",
            "affiliationName": "RESTORING HEALTH CLINIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2237 Lowes Dr W Ste A",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370406891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.