The Adeline Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THE ADELINE CENTER

Practice address

105 Vanner Rd
Mount Juliet, TN 37122-4628

Phone

(865) 406-1465

NPI assigned

Apr 11, 2018

Organization subpart

No

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

Authorized official

Name

Jason West

Title

Agent

Phone

(865) 406-1465

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Allen Jenkins, DNP, PMHNP-BC, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Costa Mesa, CA
  • NPI 1700274974
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1699272013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VANNER RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VANNER RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224628",
            "telephone_number": "865-406-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADELINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "865-406-1465"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Physical Therapy Services of Mt Juliet, LLC
• Tennessee Premier Health LLC
• Tennessee Sports Medicine & Orthopaedics, PC
• Tennessee Sports Medicine, PC
• Raven Lenore Tenpenny
• The Breathewell Group
• The Focus Center Counseling & Psychiatric Services
• The Link Center, Inc.
• The Therapy Gym, Inc
• Brantley Allen Thigpen

• Psychiatric/Mental Health Nurse Practitioner in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.