Individual provider Active NPI

Judith T Johns, NP-BC

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1689965873
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15050 Issued in TN
Practice address
105 Cherry Ave
Cookeville, TN 38501-2521
Phone
(931) 823-5681
Fax
(931) 823-0236
NPI assigned
Apr 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15050 TN Primary

Addresses

Primary practice location

105 Cherry Ave
Cookeville, TN 38501-2521

Mailing address

105 Cherry Ave
Cookeville, TN 38501-2521
Phone (931) 528-5811

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
I20110518000279 TN Practitioner - Nurse Practitioner 7012193519 Reassigns benefits to 3 organizations
Practice locations: Cookeville, TN

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Mar 24, 2022 Accepting new patients
Amg - Livingston, LLC CurrentSince Jul 1, 2015 Accepting new patients
Generations Health Association, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Associates in Neurology, PLC CurrentSince Sep 8, 2024 Accepting new patients
Amg-Livingston LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

105 Cherry Ave
Cookeville, TN 38501
Phone (931) 528-5811

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

500 W Main St
Livingston, TN 38570
Phone (931) 823-4016

5736 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-3871

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1689965873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHERRY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012521",
            "telephone_number": "931-528-5811",
            "fax_number": "931-526-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHERRY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012521",
            "telephone_number": "931-823-5681",
            "fax_number": "931-823-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JUDITH",
        "middle_name": "T",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.