Individual provider Active NPI

Jenna Isabella Santoro

  • Physician Assistant
  • Oak Ridge, TN
National Provider Identifier
1780476648
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
800 Oak Ridge Tpke
Oak Ridge, TN 37830-6957
Phone
(865) 483-1093
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

800 Oak Ridge Tpke
Oak Ridge, TN 37830-6957

Mailing address

6811 Lewis Rd
Baldwin, MD 21013-9335
Phone (410) 499-0170

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
I20250821000357 TN Practitioner - Physician Assistant 5597265918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Urology Associates, PLLCGroup PAC ID 7618952706, 27 clinicians

Practice addresses (Care Compare)

1405 S Sizer Ave
Suite a
Jefferson City, TN 37760-2421
Phone (865) 690-3811

7557 Dannaher Dr
Suite 230
Powell, TN 37849-3563
Phone (865) 938-5222

800 Oak Ridge Tpke
A101
Oak Ridge, TN 37830-6927
Phone (865) 483-1093

9245 Park W Blvd
Knoxville, TN 37923-4425
Phone (865) 690-3811

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6625TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Urology Associates, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Tennessee Urology Associates, PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

1405 S Sizer Ave
Ste A
Jefferson Cty, TN 37760
Phone (865) 475-1397

9330 Park West Blvd
Ste 308
Knoxville, TN 37923
Phone (865) 691-3061

9245 Park West Blvd
Knoxville, TN 37923
Phone (865) 690-3811

550 Town Creek Rd E
Ste 203
Lenoir City, TN 37772
Phone (865) 938-5222

800 Oak Ridge Tpke
Ste A101
Oak Ridge, TN 37830
Phone (865) 483-1093

7557 Dannaher Dr
Ste 230
Powell, TN 37849
Phone (865) 938-5222

Organizations & group practices 2

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.

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1780476648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 LEWIS RD",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139335",
            "telephone_number": "410-499-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306957",
            "telephone_number": "865-483-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "JENNA",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.