Individual provider Active NPI

Jodie L Schneitman, AG-ACNP, BC

  • Acute Care Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1801293436
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
19350 Issued in TN
Practice address
705 McFarland St
Morristown, TN 37814-3977
Phone
(423) 492-5450
Fax
(865) 374-2095
NPI assigned
Nov 25, 2014
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 19350 TN Primary
Adult Health Nurse Practitioner 363LA2200X 19350 TN

Addresses

Primary practice location

705 McFarland St
Morristown, TN 37814-3977

Mailing address

705 McFarland St
Morristown, TN 37814-3977
Phone (423) 492-5450

Other identifiers 2

IdentifierTypeStateIssuer
Q011449MedicaidTN
19350OtherTNAPN LISCENSE

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
I20150327002449 TN Practitioner - Nurse Practitioner 1557688678 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Heart Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Knoxville Cardiovascular Group PC Adult Health Current Accepting new patients
Knoxville Medical and Industrial Clinic PastSince May 1, 2021 Accepting new patients

Locations

1819 Clinch Ave
Ste 108
Knoxville, TN 37916
Phone (865) 541-4062

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

705 McFarland St
Morristown, TN 37814
Phone (423) 492-5450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1801293436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-492-5450",
            "fax_number": "865-374-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-492-5450",
            "fax_number": "865-374-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEITMAN",
        "first_name": "JODIE",
        "middle_name": "L",
        "credential": "AG-ACNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "19350",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "19350",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011449",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LISCENSE",
            "identifier": "19350",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.