Individual provider Active NPI

Jordan Kimmet, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1770036550
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21193 Issued in TN
Practice address
1215 21St Avenue South
Vanderbilt Autonomic Dysfunction Clinic
Nashville, TN 37232-5492
Phone
(615) 322-2318
Fax
(615) 936-8208
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 189055 TN
Family Nurse Practitioner 363LF0000X 21193 TN Primary

Addresses

Primary practice location

1215 21St Avenue South
Vanderbilt Autonomic Dysfunction Clinic
Nashville, TN 37232-5492

Mailing address

1215 21St Avenue South
Vanderbilt Autonomic Dysfunction Clinic
Nashville, TN 37232-5492
Phone (615) 322-2318

Other names 1

  • Jordan Snow Former name

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

State licenses

LicenseStateTypeSpecialty
189055TNMDRegistered Nurse
21193TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University PastSince Oct 21, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkimmet435500@direct.medicine.duke.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1770036550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 21ST AVENUE SOUTH",
            "address_2": "VANDERBILT AUTONOMIC DYSFUNCTION CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325492",
            "telephone_number": "615-322-2318",
            "fax_number": "615-936-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVENUE SOUTH",
            "address_2": "VANDERBILT AUTONOMIC DYSFUNCTION CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325492",
            "telephone_number": "615-322-2318",
            "fax_number": "615-936-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMET",
        "first_name": "JORDAN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "189055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "SNOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.