Active NPI
Jule Ellen Michael, FNP
- Family Nurse Practitioner
- Kingsport, TN
National Provider Identifier
1730471905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 156859
- Practice address
- 2002 Brookside Dr Ste 102
Kingsport, TN 37660-4634 - Phone
- (423) 245-6000
- Fax
- (423) 245-4190
- NPI assigned
- May 6, 2011
- Last updated
- Jan 28, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024169320 | VA | |
| Family Nurse Practitioner | 363LF0000X | 156859 | TN | Primary |
Addresses
Primary practice location
2002 Brookside Dr Ste 102
Kingsport, TN 37660-4634
Mailing address
2002 Brookside Dr
Ste 102
Kingsport, TN 37660-4634
Phone (423) 245-6000
Other practice location 1
119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615
Phone (423) 282-1480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15659 | Other | TN | APN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156859 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Tennessee, P.C. | Family | Past | Accepting new patients |
Interoperability endpoints
- jmichael12095@direct.acumenmd.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1730471905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR",
"address_2": "STE 102",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-245-6000",
"fax_number": "423-245-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR STE 102",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-245-6000",
"fax_number": "423-245-4190"
}
],
"practiceLocations": [
{
"address_1": "119 Boone Ridge Dr",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "37615",
"country_code": "US",
"telephone_number": "423-282-1480",
"fax_number": "423-928-1353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "JULE",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024169320",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "156859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN",
"identifier": "15659",
"state": "TN"
}
],
"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 Jan 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.