NPIMap

Individual provider Active NPI

Jamie E Carnell, NP

  • Acute Care Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1346632783
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
19369 Issued in TN
Practice address
1 Profressional Park Dr
Suite 21
Johnson City, TN 37604
Phone
(423) 232-6900
NPI assigned
Feb 23, 2015
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 19369 TN Primary

Addresses

Primary practice location

1 Profressional Park Dr
Suite 21
Johnson City, TN 37604

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other identifiers 1

IdentifierTypeStateIssuer
1346632783MedicaidTN

Other names 1

  • Jamie E Loveday Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526001882 TN Practitioner - Nurse Practitioner 2668792003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain States Health AllianceGroup PAC ID 6002726718, 23 clinicians

Practice addresses (Care Compare)

1 Professional Park Dr
Suite 21
Johnson City, TN 37604-6909
Phone (423) 232-6909

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1103

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19369TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Mountain States Health Alliance Current Accepting new patients
University Health System Inc CurrentSince Mar 1, 2015 Accepting new patients
Mountain States Health Alliance CurrentSince Jan 1, 2024 Accepting new patients
Mountain States Health Alliance CurrentSince Jan 1, 2024 Accepting new patients
University Health System, Inc CurrentSince Mar 1, 2015 Accepting new patients
University Health System, Inc Current Accepting new patients
Mountain States Health Alliance Past Accepting new patients

Locations

1 Professional Park Dr
Ste 21
Johnson City, TN 37604
Phone (423) 232-6900

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100

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

Hospital & facility affiliations 7

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": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1346632783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFRESSIONAL PARK DR",
            "address_2": "SUITE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-232-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNELL",
        "first_name": "JAMIE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "19369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346632783",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LOVEDAY",
            "middle_name": "E",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.