Active NPI
Robin Tidwell Jones, APRN
- Adult Health Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11062
- Practice address
- 500 W MLK Suite 1108
Chattanooga, TN 37402-3444 - Phone
- (423) 226-6450
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11062 | TN | Primary |
Addresses
Primary practice location
500 W MLK Suite 1108
Chattanooga, TN 37402-3444
Mailing address
7127 Snapdragon LN
Ooltewah, TN 37363-6555
Phone (865) 216-3351
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071211000621 | TN | Practitioner - Nurse Practitioner | 3476642653 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| SHC Medical Partners of Tennessee, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| DX Mso, PLLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients | |
| Uhs Ventures | Past | Accepting new patients | |
| Pain Management, PLLC | Past | Accepting new patients | |
| Pain Management | Adult Health | Past | Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800
241 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 413-0185
9058 Old Lee Hwy
Ooltewah, TN 37363
Phone (423) 531-9110
415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGBFAD
Organizations & group practices 23
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.
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Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DX Mso PLLCSHC Medical Partners of Tennessee, LLCAbode Care Partners LTC VB LLC
Practice addresses (Care Compare)
9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426
919 Medical Park Dr
Mountain City, TN 37683-1042
Phone (423) 727-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1497876049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7127 SNAPDRAGON LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636555",
"telephone_number": "865-216-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MLK SUITE 1108",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374023444",
"telephone_number": "423-226-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ROBIN",
"middle_name": "TIDWELL",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "11062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.