Active NPI
Jennifer Kendra McDaniel, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Sevierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 33515
- Practice address
- 1105 Oak Cluster Dr
Sevierville, TN 37862-6079 - Phone
- (865) 429-0557
- NPI assigned
- Mar 26, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 187047 | TN | |
| Community Health Registered Nurse | 163WC1500X | 187047 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 33515 | TN | Primary |
Addresses
Primary practice location
1105 Oak Cluster Dr
Sevierville, TN 37862-6079
Mailing address
200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1105 Oak Cluster Dr
Sevierville, TN 37862-6079
Phone (865) 429-0557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187047 | TN | MD | Community Health Registered Nurse |
| 33515 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Ross McNabb Center | Current | Accepting new patients |
Locations
1515 Saint Mary St
Knoxville, TN 37917
Phone (865) 213-1550
5310 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 262-8208
5645 Merchants Center Blvd
Knoxville, TN 37912
Phone (865) 257-9982
201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173
200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124
990 W Highway 25 70
Newport, TN 37821
Phone (423) 248-5146
1105 Oak Cluster Dr
Sevierville, TN 37862
Phone (865) 366-4070
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1780926923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TECH CENTER DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379122747",
"telephone_number": "865-637-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 OAK CLUSTER DR",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378626079",
"telephone_number": "865-429-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "JENNIFER",
"middle_name": "KENDRA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "187047",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "187047",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "33515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.