Jessica Maze, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21706 Issued in TN

Practice address

153 E Broadway Blvd
Jefferson City, TN 37760-2517

Phone

(865) 475-9969

Fax

(865) 475-9901

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

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.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Summit Medical Group,PLLC

  • Internal Medicine Physician
  • Jefferson City, TN
  • NPI 1952560625
  NPD
• Mountain Valley RX 05 Inc

  • Community/Retail Pharmacy
  • Jefferson City, TN
  • NPI 1043364490
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1497202840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602517",
            "telephone_number": "865-475-9969",
            "fax_number": "865-475-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602517",
            "telephone_number": "865-475-9969",
            "fax_number": "865-475-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "JESSICA",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett S Manley, MD
• Keri Mantooth, MSSW
• Angela S Many, M.D.
• Darius Fitzgerald Marra, PHARM.D
• Robert Allen Matijevich, PT
• Raven J McCarroll, APRN
• Kaitlyn Gouge McCarter
• McFarland Group, Inc.
• Tabetha McGill
• McGinty Counseling LLC

• Family Nurse Practitioner in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.