Active NPI
Jaime Lee McClellan, APRN
- Family Nurse Practitioner
- Maryville, TN
National Provider Identifier
1770113136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27139
- Practice address
- 2012 Chilhowee Medical Park
Maryville, TN 37804-5285 - Phone
- (865) 205-6449
- NPI assigned
- Jan 24, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27139 | TN | Primary |
Addresses
Primary practice location
2012 Chilhowee Medical Park
Maryville, TN 37804-5285
Mailing address
1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone (423) 470-3416
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well-Key Health, PLLC | Current | Accepting new patients | |
| Chuc, LLC | Family | Past | Accepting new patients |
Locations
1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Sevierville, TN
- NPI 1114234382
-
- Primary Care Clinic/Center
- Greeneville, TN
- NPI 1083178974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1770113136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1787 VETERANS BLVD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378626945",
"telephone_number": "423-470-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 CHILHOWEE MEDICAL PARK",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045285",
"telephone_number": "865-205-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "JAIME",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "27139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.