Individual provider Active NPI

Jeannie B Levi, APN

  • Family Nurse Practitioner
  • Newport, TN
National Provider Identifier
1619223344
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN16750 Issued in TN
Practice address
407 4TH St
Newport, TN 37821-3755
Phone
(423) 623-6240
Fax
(423) 623-0102
NPI assigned
Jul 31, 2012
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN16750 TN Primary

Addresses

Primary practice location

407 4TH St
Newport, TN 37821-3755

Mailing address

407 4TH St
Newport, TN 37821-3755
Phone (423) 623-6240

Other identifiers 1

IdentifierTypeStateIssuer
1530099MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000022 TN Practitioner - Nurse Practitioner 6608024203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Mar 24, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Mar 24, 2021 Accepting new patients
Mountain Valley RX 05 Inc Past Accepting new patients

Locations

525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265

2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1619223344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 4TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213755",
            "telephone_number": "423-623-6240",
            "fax_number": "423-623-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 4TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213755",
            "telephone_number": "423-623-6240",
            "fax_number": "423-623-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "JEANNIE",
        "middle_name": "B",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530099",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.