Individual provider Active NPI

Teresa Diane Kee, NP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1689708224
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
129471 Issued in TN
Practice address
15 Stonebridge Blvd
Jackson, TN 38305-2042
Phone
(731) 265-6946
Fax
(731) 265-6947
NPI assigned
Mar 15, 2007
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 129471 TN
Family Nurse Practitioner 363LF0000X 129471 TN Primary

Addresses

Primary practice location

15 Stonebridge Blvd
Jackson, TN 38305-2042

Mailing address

8132 Cordova Rd
Cordova, TN 38016-6005
Phone (901) 405-6470

Other practice location 1

160 W University Pkwy Ste C
Jackson, TN 38305-1667
Phone (731) 660-5116

Other identifiers 1

IdentifierTypeStateIssuer
129471OtherTNSTATE LICENSE

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
I20120509000413 TN Practitioner - Nurse Practitioner 5597927590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Pain Clinics IncGroup PAC ID 4183538887, 8 clinicians

Practice addresses (Care Compare)

15 Stonebridge Blvd
Jackson, TN 38305-2042
Phone (731) 265-6946

8132 Cordova Rd
Cordova, TN 38016-6005
Phone (901) 405-6470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129471TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Pain Clinics, Inc CurrentSince Feb 1, 2024 Accepting new patients
Spectrum Pain Clinics Inc. CurrentSince Feb 1, 2024 Accepting new patients
Pain Consultants of West Tennessee Past Accepting new patients

Locations

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

15 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 265-6946

23 Sandstone Cir
Jackson, TN 38305
Phone (731) 265-6946

Organizations & group practices 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1689708224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166005",
            "telephone_number": "901-405-6470",
            "fax_number": "901-747-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052042",
            "telephone_number": "731-265-6946",
            "fax_number": "731-265-6947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 W University Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051667",
            "country_code": "US",
            "telephone_number": "731-660-5116",
            "fax_number": "731-660-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEE",
        "first_name": "TERESA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "129471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "129471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "129471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.