Jacqueline J Koss, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APN0000007514 Issued in TN

Practice address

1301 McArthur St
Manchester, TN 37355-2425

Phone

(931) 728-6800

Fax

(931) 728-2911

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Whole Family Clinic, PLLC

  • Primary Care Clinic/Center
  • Manchester, TN
  • NPI 1518924760
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1619934866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373491065",
            "telephone_number": "931-728-6800",
            "fax_number": "931-728-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552425",
            "telephone_number": "931-728-6800",
            "fax_number": "931-728-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "APN0000007514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4102275",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Elaine Kennedy, RN
• Laura N Kimball, NP
• Leslie M King, PHARM.D.
• Michael Todd Kirkland, PH.D.
• Marjorie Ann Kohl-Carter, LMT, CTA
• Candice Rachelle Kusch, NP
• Gregory D. Lanier, P.A.
• Reda Lynn Lawson, RN
• Theresa Jane Lawson
• Thomas Ray Lawson, LPC

• Women's Health Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Women's Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.