Individual provider Active NPI

Jennifer Michelle Starritt, FNP-BC

  • Family Nurse Practitioner
  • Pigeon Forge, TN
National Provider Identifier
1629518055
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22403 Issued in TN
Practice address
119 Sugarfoot Way
Pigeon Forge, TN 37863-6204
Phone
(865) 453-9045
NPI assigned
Mar 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 22403 TN Primary

Addresses

Primary practice location

119 Sugarfoot Way
Pigeon Forge, TN 37863-6204

Mailing address

119 Sugarfoot Way
Pigeon Forge, TN 37863-6204

Other identifiers 1

IdentifierTypeStateIssuer
Q028046MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address starritt.jennifer@covenanthealth.cernerdirect.com

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
I20180618000585 TN Practitioner - Nurse Practitioner 1456606326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

109 Sugarfoot Way
Suite 5
Pigeon Forge, TN 37863-6204
Phone (865) 365-4800

119 Sugarfoot Way
Tn37863
Pigeon Forge, TN 37863-6204
Phone (865) 453-9045

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Covenant Medical Group, Inc CurrentSince Apr 1, 2019 Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

119 Sugarfoot Way
Pigeon Forge, TN 37863
Phone (865) 453-9045

Interoperability endpoints

  • Direct secure messaging: starritt.jennifer@covenanthealth.cernerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1629518055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SUGARFOOT WAY",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SUGARFOOT WAY",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636204",
            "telephone_number": "865-453-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARRITT",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028046",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "starritt.jennifer@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "119 Sugarfoot Way",
            "city": "Pigeon Forge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378636204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pigeon Forge, TN

Sources for this page

Verify at the official NPI Registry.