Individual provider Active NPI

Amy A Jenkins, FNP

  • Family Nurse Practitioner
  • Harriman, TN
National Provider Identifier
1750417242
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7617 Issued in TN
Practice address
413 Devonia St
Harriman, TN 37748-2010
Phone
(865) 590-7453
NPI assigned
Feb 26, 2007
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7617 TN Primary

Addresses

Primary practice location

413 Devonia St
Harriman, TN 37748-2010

Mailing address

413 Devonia St
Harriman, TN 37748-2010
Phone (865) 590-7453

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
I20050215001012 TN Practitioner - Nurse Practitioner 2264484401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

413 Devonia St
Harriman, TN 37748-2010
Phone (865) 356-5510

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Jenkins LLC CurrentSince Aug 25, 2014 Accepting new patients
Allcare Family Practice of Roane County LLC CurrentSince Aug 30, 2024 Accepting new patients
Tennessee Innovative Medical Services PLLC Past Accepting new patients
Synergy Health Systems, PLLC Past Accepting new patients
Kimberly Webb LLC Past Accepting new patients

Locations

413 Devonia St
Harriman, TN 37748
Phone (865) 590-7453

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allcare Family Practice of Roane County LLCHarriman, TN, CCN 888930 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
W-2 Managing Employee
Aug 30, 2024
Aug 30, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1750417242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482010",
            "telephone_number": "865-590-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482010",
            "telephone_number": "865-590-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.