Individual provider Active NPI

Jennifer B Seawell-Wynn, MD

  • Pediatrics Physician
  • Pleasant View, TN
National Provider Identifier
1659352086
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40158 Issued in TN
Practice address
6312 Highway 41a Ste 102
Pleasant View, TN 37146-8221
Phone
(615) 819-5431
NPI assigned
Nov 11, 2005
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40158 TN Primary

Addresses

Primary practice location

6312 Highway 41a Ste 102
Pleasant View, TN 37146-8221

Mailing address

6312 Highway 41a Ste 102
Pleasant View, TN 37146-8221
Phone (615) 819-5431

Other identifiers 1

IdentifierTypeStateIssuer
3333798MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913001012 TN Practitioner - Pediatric Medicine 3870526635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40158TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatrics, PC CurrentSince Apr 28, 2021 Accepting new patients

Locations

6312 Highway 41A
Ste 102
Pleasant View, TN 37146
Phone (615) 819-5431

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, 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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1659352086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 HIGHWAY 41A STE 102",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468221",
            "telephone_number": "615-819-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 HIGHWAY 41A STE 102",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468221",
            "telephone_number": "615-819-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAWELL-WYNN",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "40158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333798",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, TN

Sources for this page

Verify at the official NPI Registry.