Active NPI
Janie Daniel, FNP
- Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN0000006645
- 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, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3345357 | Medicaid | TN | |
| 3345357 | Other | TN | MEDICARE ID |
| 3345358 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000006645 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid - South Heart Center PC | Current | Accepting new patients | |
| Bemis Medical Clinic, Inc. | Current | Accepting new patients | |
| West Tennessee Healthcare Hospitalists Inc | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Bemis Medical Clinic,inc II
- Family Nurse Practitioner
- Jackson, TN
- NPI 1437297744
-
- Specialist
- Jackson, TN
- NPI 1215982681
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.