Individual provider Active NPI

Janie Daniel, FNP

  • Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1750320933
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000006645 Issued in TN
Practice address
48 Medical Center Dr
Jackson, TN 38301-3947
Phone
(731) 423-8383
Fax
(731) 424-6309
NPI assigned
Jun 5, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000006645 TN Primary

Addresses

Primary practice location

48 Medical Center Dr
Jackson, TN 38301-3947

Mailing address

PO Box 3282
Jackson, TN 38303-3282
Phone (731) 423-8383

Other identifiers 3

IdentifierTypeStateIssuer
3345357MedicaidTN
3345357OtherTNMEDICARE ID
3345358MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janie.daniel.p1@direct.midsouthheartcenter.nextgenshare.com Direct

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
I20110216000567 TN Practitioner - Nurse Practitioner 1355522855 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000006645TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid - South Heart Center PC CurrentSince Dec 1, 2010 Accepting new patients
Bemis Medical Clinic, Inc. CurrentSince May 20, 2024 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Jan 10, 2026 Accepting new patients
West Tennessee Medical Group Inc Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

219 S Missouri St
Jackson, TN 38301
Phone (731) 422-6630

48 Medical Center Dr
Jackson, TN 38301
Phone (731) 423-8383

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: janie.daniel.p1@direct.midsouthheartcenter.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1750320933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3282",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383033282",
            "telephone_number": "731-423-8383",
            "fax_number": "731-424-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL CENTER DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013947",
            "telephone_number": "731-423-8383",
            "fax_number": "731-424-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000006645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3345357",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "3345357",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3345358",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janie.daniel.p1@direct.midsouthheartcenter.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "48 Medical Center Dr",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383013947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.