Active NPI
Jennifer Vallie Jeanne Minor, APRN, ACNP
- Acute Care Nurse Practitioner
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 33409
- Practice address
- 355 New Shackle Island Rd
Hendersonville, TN 37075-2479 - Phone
- (615) 388-7720
- NPI assigned
- Jan 24, 2021
- Last updated
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 33409 | TN | Primary |
| Emergency Registered Nurse | 163WE0003X | 0000150949 | TN |
Addresses
Primary practice location
355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Mailing address
1101 Minor Rd
Bethpage, TN 37022-9185
Phone (615) 388-7720
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4230 Harding Pike
Suite 435
Nashville, TN 37205-4900
Phone (615) 385-3704
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000150949 | TN | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Anesthesiologists PC | Acute Care | Current | Accepting new patients |
Locations
4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704
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.
-
- Critical Care Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1912953381
Acute Care
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Saint Thomas Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1679163539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MINOR RD",
"city": "BETHPAGE",
"state": "TN",
"postal_code": "370229185",
"telephone_number": "615-388-7720",
"fax_number": "615-888-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 NEW SHACKLE ISLAND RD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752479",
"telephone_number": "615-388-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "JENNIFER",
"middle_name": "VALLIE JEANNE",
"name_prefix": "Mrs.",
"credential": "APRN, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "33409",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TN",
"license": "0000150949",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.