Individual provider Active NPI

Jordan Danielle Evans, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, TN
National Provider Identifier
1669147476
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29548 Issued in TN
Practice address
2431 Jones Bend Rd
Louisville, TN 37777-5216
Phone
(865) 424-4201
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29548 TN Primary

Addresses

Primary practice location

2431 Jones Bend Rd
Louisville, TN 37777-5216

Mailing address

2431 Jones Bend Rd
Louisville, TN 37777-5216

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
I20220114001379 TN Practitioner - Nurse Practitioner 0042602435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Dowell Springs Behavioral Health, LLCGroup PAC ID 5597157016, 11 clinicians

Practice addresses (Care Compare)

1444 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (865) 722-7780

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
29548TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dowell Springs Behavioral Health, LLC CurrentSince Feb 14, 2025 Accepting new patients
Helen Ross McNabb Center CurrentSince Jan 10, 2022 Accepting new patients
Helen Ross McNabb Center CurrentSince Jan 1, 2022 Accepting new patients
Village Behavioral Health, LLC Past Accepting new patients

Locations

1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665

600 Arthur St
Knoxville, TN 37921
Phone (865) 523-8695

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

205 W Springdale Ave
Knoxville, TN 37917
Phone (865) 312-7278

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1669147476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 JONES BEND RD",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377775216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 JONES BEND RD",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377775216",
            "telephone_number": "865-424-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JORDAN",
        "middle_name": "DANIELLE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, TN

Sources for this page

Verify at the official NPI Registry.