Individual provider Active NPI

Jamie Danelle Ingle, FNP-BC

  • Family Nurse Practitioner
  • Dickson, TN
National Provider Identifier
1386319630
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29795 Issued in TN
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(615) 326-2389
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29795 TN Primary

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

1434 Stayton Rd
Cumberland Furnace, TN 37051-4515
Phone (615) 326-2389

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
I20211105002513 TN Practitioner - Nurse Practitioner 5698164077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 1, 2023 Accepting new patients

Locations

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1386319630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 STAYTON RD",
            "city": "CUMBERLAND FURNACE",
            "state": "TN",
            "postal_code": "370514515",
            "telephone_number": "615-326-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-326-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "JAMIE",
        "middle_name": "DANELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.