Active NPI
Jennifer Lee Gerber, F.N.P.
- Family Nurse Practitioner
- Waverly, TN
National Provider Identifier
1710038989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN0000105859
- Practice address
- 104 Hillwood Dr
Waverly, TN 37185-2116 - Phone
- (931) 296-7052
- Fax
- (931) 296-3566
- NPI assigned
- Jan 15, 2007
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN0000105859 | TN | Primary |
Addresses
Primary practice location
104 Hillwood Dr
Waverly, TN 37185-2116
Mailing address
PO Box 270
Waverly, TN 37185-0270
Phone (931) 296-7052
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3904781 | Medicaid | TN | |
| 4045784 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 223121700 | Other | TN | DEPT OF LABOR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7210 | TN | MD | Clinical Social Worker |
| RN0000105859 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Urgent Care Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1548258825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710038989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371850270",
"telephone_number": "931-296-7052",
"fax_number": "931-296-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HILLWOOD DR",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371852116",
"telephone_number": "931-296-7052",
"fax_number": "931-296-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "RN0000105859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3904781",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4045784",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "223121700",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.