Individual provider Active NPI

Jennifer Robin Green, FNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1821261884
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARN13377 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone
(615) 936-2000
NPI assigned
Apr 10, 2008
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN13377 TN
Family Nurse Practitioner 363LF0000X ARN13377 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-0001

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other practice location 1

200 Fort Sanders West Blvd, Bldg 2
Suite 200
Knoxville, TN 37992
Phone (865) 288-4232

Other identifiers 1

IdentifierTypeStateIssuer
103I502548OtherTNMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgreen406469@direct.vumc.org Direct

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
I20080604000097 TN Practitioner - Nurse Practitioner 4284704156 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retail Health Clinics, LLCGroup PAC ID 1951677509, 49 clinicians

Practice addresses (Care Compare)

198 E Main St
Hendersonville, TN 37075-2520
Phone (615) 875-3131

2401 Old Fort Pkwy
Murfreesboro, TN 37128-4162
Phone (615) 875-2855

400 Sam Ridley Pkwy W
Smyrna, TN 37167-5620
Phone (615) 875-3670

518 Donelson Pike
Nashville, TN 37214-3729
Phone (615) 875-3060

5555 Edmonson Pike
Nashville, TN 37211-5808
Phone (615) 875-2940

9100 Carothers Pkwy
Franklin, TN 37067-6300
Phone (615) 875-3035

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN13377TNMDFamily Nurse Practitioner
ARN13377TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Family Health, LLC CurrentSince Dec 18, 2016 Accepting new patients
Family Medicine West PLLC CurrentSince Oct 1, 2012 Accepting new patients
Retail Health Clinics, LLC CurrentSince Jun 1, 2018 Accepting new patients
Family Medicine West PLLC CurrentSince Oct 1, 2012 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

1501 Hatcher Ln
Ste A
Columbia, TN 38401
Phone (931) 548-8090

915 S Garden St
Columbia, TN 38401
Phone (931) 548-8090

198 E Main St
Hendersonvlle, TN 37075
Phone (615) 264-3583

220 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (423) 346-5566

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24835/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1821261884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-936-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Fort Sanders West Blvd, Bldg 2",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37992",
            "country_code": "US",
            "telephone_number": "865-288-4232",
            "fax_number": "865-288-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "middle_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN13377",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "ARN13377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I502548",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgreen406469@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.