Individual provider Active NPI

Jacy Taylor Cunningham, APN

  • Adult Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1376979583
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN 17917 Issued in TN
Practice address
783 Old Hickory Blvd Ste 355
Brentwood, TN 37027-4986
Phone
(615) 340-5544
Fax
(615) 327-1009
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN 17917 TN Primary

Addresses

Primary practice location

783 Old Hickory Blvd Ste 355
Brentwood, TN 37027-4986

Mailing address

300 Williams CT
Nashville, TN 37209-5301
Phone (615) 319-5042

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
I20141122000216 TN Practitioner - Nurse Practitioner 6002138328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassionate Health Associates PLLCGroup PAC ID 4183887011, 9 clinicians

Practice addresses (Care Compare)

211 Cool Springs Blvd
Franklin, TN 37067-7242
Phone (615) 778-6800

Merit-based Incentive Payment System (MIPS)

Final score
19.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 17917TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Health Associates, PLLC CurrentSince Nov 1, 2016 Accepting new patients
William G Boger MD PLLC Past Accepting new patients

Locations

211 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 778-6800

216 Fairground St
Franklin, TN 37064
Phone (256) 520-4879

Organizations & group practices 2

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1376979583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLIAMS CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095301",
            "telephone_number": "615-319-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 OLD HICKORY BLVD STE 355",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274986",
            "telephone_number": "615-340-5544",
            "fax_number": "615-327-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JACY",
        "middle_name": "TAYLOR",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN 17917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.