Active NPI
Jiaqi Chen
- Registered Nurse
- Farragut, TN
National Provider Identifier
1679417133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95442488
- Practice address
- 11211 Farragut Pointe Way Apt 304
Farragut, TN 37934-4918 - Phone
- (661) 585-1083
- Fax
- (661) 585-1083
- NPI assigned
- Apr 15, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 283736 | TN | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 2000706047 | TN | |
| Registered Nurse | 163W00000X | 95442488 | CA | Primary |
Addresses
Primary practice location
11211 Farragut Pointe Way Apt 304
Farragut, TN 37934-4918
Mailing address
11211 Farragut Pointe Way Apt 304
Farragut, TN 37934-4918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95442488 | CA | MD | Registered Nurse |
| 283736 | TN | MD | Registered Nurse |
| 2000706047 | TN | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1679417133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 FARRAGUT POINTE WAY APT 304",
"city": "FARRAGUT",
"state": "TN",
"postal_code": "379344918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 FARRAGUT POINTE WAY APT 304",
"city": "FARRAGUT",
"state": "TN",
"postal_code": "379344918",
"telephone_number": "661-585-1083",
"fax_number": "661-585-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JIAQI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "283736",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TN",
"license": "2000706047",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95442488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farragut, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.