Individual provider Active NPI

Jada Loanne Helums, R.N.

  • Registered Nurse
  • Fayetteville, TN
National Provider Identifier
1588795173
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN0000145252 Issued in TN
Practice address
1000 Washington St W Ste a
Fayetteville, TN 37334-2872
Phone
(931) 433-3231
Fax
(931) 438-1567
NPI assigned
Mar 8, 2007
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000145252 TN Primary

Addresses

Primary practice location

1000 Washington St W Ste a
Fayetteville, TN 37334-2872

Mailing address

1000 Washington St W Ste a
Fayetteville, TN 37334-2872
Phone (931) 433-3231

Other practice location 1

140 Dover St
Shelbyville, TN 37160-2776
Phone (931) 684-3426 ext. 152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000145252TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1588795173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST W STE A",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342872",
            "telephone_number": "931-433-3231",
            "fax_number": "931-438-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST W STE A",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342872",
            "telephone_number": "931-433-3231",
            "fax_number": "931-438-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Dover St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371602776",
            "country_code": "US",
            "telephone_number": "931-684-3426 x152",
            "fax_number": "931-684-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELUMS",
        "first_name": "JADA",
        "middle_name": "LOANNE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000145252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.