NPIMap

Organization Active NPI

Jefferson Healthcare Services, LLC

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1588773188
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6167 Issued in TN
Legal business name
JEFFERSON HEALTHCARE SERVICES, LLC
Practice address
10621 Chevy Dr Ste a
Knoxville, TN 37922-3105
Phone
(865) 966-1934
Fax
(423) 566-5896
NPI assigned
Aug 29, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Nickola S Jefferson, FNPNPI 1700995206
Title
Owner
Phone
(865) 966-1934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6167 TN Primary

Addresses

Primary practice location

10621 Chevy Dr Ste a
Knoxville, TN 37922-3105

Mailing address

10621 Chevy Dr Ste a
Knoxville, TN 37922-3105
Phone (865) 966-1934

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1588773188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 CHEVY DR STE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223105",
            "telephone_number": "865-966-1934",
            "fax_number": "423-566-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 CHEVY DR STE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223105",
            "telephone_number": "865-966-1934",
            "fax_number": "423-566-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "NICKOLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-966-1934",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.