Jaclyn S Parish, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

24500 Issued in TN

Practice address

320 N Park 40 Blvd Ste a
Knoxville, TN 37923-3624

Phone

(865) 692-3462

Fax

(865) 692-3463

NPI assigned

Jul 26, 2018

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jaclyn S Chittum Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Kidney Center, PLLCGroup PAC ID 2668485558, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.16 of 100Reported as group

Quality

50.68

Promoting interoperability

100

Improvement activities

40

Cost

79.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchittum@yourcarecommunity.org
• Direct secure messaging: jparish58569@direct.acumenmd.com

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.

• Knoxville Kidney Center, PLLC

  • Nephrology Physician
  • Knoxville, TN
  • NPI 1306864186
  Medicare reassignment Care Compare group NPD
• Nra-Crossville, Tennessee, LLC

  dba Fresenius Kidney Care Crossville Home Therapies

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crossville, TN
  • NPI 1033860481
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1821575473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "STE. A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-670-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N PARK 40 BLVD STE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "JACLYN",
        "middle_name": "S",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "CHITTUM",
            "middle_name": "S",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Parent-Child Services Group, Inc. (Lynne Harmon)
• Hailey Danielle Parente, PA-C
• Caroline Parfomak, DMD
• Katherine Parfomak, DDS
• Jon Simpson Parham, DO, MPH
• Angela Parisi, MS, RDN, LDN
• Laura L Parisi, LCSW
• Linda Parisi
• Christy C. Park, MD
• Deanna Park

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.
• 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.

Verify at the official NPI Registry.