Individual provider Active NPI

Jenesis M Yanez, MD

  • Developmental - Behavioral Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1598119323
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
0000059943 Issued in TN
Practice address
1101 Carter Street
Chattanooga, TN 37402-9760
Phone
(423) 490-7710
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 0000059943 TN Primary

Addresses

Primary practice location

1101 Carter Street
Chattanooga, TN 37402-9760

Mailing address

2094 River Watch Drive
Soddy-Daisy, TN 37379
Phone (305) 733-2811

Other names 1

  • Jenesis M Negron Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenesis.yanez@siskin.org Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000059943TNMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mose and Garrison Siskin Memorial Foundation, Inc. Developmental - Behavioral Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jnegron29838@direct.vumc.org
  • Direct secure messaging: jenesis.yanez.1@4286.direct.athenahealth.com

Organizations & group practices 1

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1598119323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 RIVER WATCH DRIVE",
            "city": "SODDY-DAISY",
            "state": "TN",
            "postal_code": "37379",
            "telephone_number": "305-733-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CARTER STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374029760",
            "telephone_number": "423-490-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "JENESIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TN",
            "license": "0000059943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenesis.yanez@siskin.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 Carter Street",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENESIS",
            "last_name": "NEGRON",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 23, 2024; 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.