Active NPI
Jennifer R Wright, ANP
- Adult Health Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 13321
- Practice address
- 111 W Stone Dr
Suite 200
Kingsport, TN 37660-6027 - Phone
- (423) 723-2030
- Fax
- (423) 247-4110
- NPI assigned
- Mar 10, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024169027 | VA | |
| Adult Health Nurse Practitioner | 363LA2200X | 13321 | TN | Primary |
Addresses
Primary practice location
111 W Stone Dr
Suite 200
Kingsport, TN 37660-6027
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
115 Judge Gresham Rd Ste A
Gray, TN 37615-6213
Phone (423) 467-3000
Other practice location 2
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Phone (423) 288-3988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689844375 | Medicaid | VA |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Johnson City Medical Center
- Indian Path Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
115 Judge Gresham Rd
Ste A
Gray, TN 37615
Phone (423) 467-3000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
111 W Stone Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3375
2421 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 288-3988
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
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.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- General Practice Physician
- Kingsport, TN
- NPI 1003904095
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1689844375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W STONE DR",
"address_2": "SUITE 200",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376606027",
"telephone_number": "423-723-2030",
"fax_number": "423-247-4110"
}
],
"practiceLocations": [
{
"address_1": "115 Judge Gresham Rd Ste A",
"address_purpose": "LOCATION",
"city": "Gray",
"state": "TN",
"postal_code": "376156213",
"country_code": "US",
"telephone_number": "423-467-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2421 N John B Dennis Hwy",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604773",
"country_code": "US",
"telephone_number": "423-288-3988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024169027",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "13321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689844375",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.