Individual provider Active NPI

Jessica Marie Huening, FNP-C

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1407628134
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34960 Issued in TN
Practice address
3430 E Andrew Johnson Hwy Ste 1
Greeneville, TN 37745-0968
Phone
(423) 820-0033
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 34960 TN Primary

Addresses

Primary practice location

3430 E Andrew Johnson Hwy Ste 1
Greeneville, TN 37745-0968

Mailing address

399 Wilcox Cir
Jonesborough, TN 37659-4436

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
I20231129000287 TN Practitioner - Nurse Practitioner 6002264298 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34960TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 28, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 28, 2023 Accepting new patients

Locations

3430 E Andrew Johnson Hwy
Ste 1
Greeneville, TN 37745
Phone (423) 820-0033

3430 E Andrew Johnson Hwy
#1
Greeneville, TN 37745

Organizations & group practices 3

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1407628134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 WILCOX CIR",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376594436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E ANDREW JOHNSON HWY STE 1",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377450968",
            "telephone_number": "423-820-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUENING",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.