Individual provider Active NPI

Jessica Gulch, APRN, NP

  • Acute Care Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1821650474
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
31312 Issued in TN
Practice address
5906 Main St Ste 132
Ooltewah, TN 37363-9297
Phone
(423) 468-1226
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012727A IN
Acute Care Nurse Practitioner 363LA2100X 0024177824 VA
Gerontology Nurse Practitioner 363LG0600X 71012727A IN
Acute Care Nurse Practitioner 363LA2100X 31312 TN Primary

Addresses

Primary practice location

5906 Main St Ste 132
Ooltewah, TN 37363-9297

Mailing address

5906 Main St Ste 132
Ooltewah, TN 37363-9297
Phone (423) 468-1226

Other practice location 1

1701 Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-2848

Other practice location 2

400 Sentara Cir Ste 201A
Williamsburg, VA 23188-5716
Phone (757) 984-3975

Other practice location 3

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

Other practice location 4

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Other names 1

  • Jessica Marie Osborne Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgulch@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191223002340 VA Practitioner - Nurse Practitioner 0042644114 Reassigns benefits to 2 organizations
I20210819002641 FL Practitioner - Nurse Practitioner 0042644114 Reassigns benefits to 1 organization
I20220324001520 TN Practitioner - Nurse Practitioner 0042644114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 493-1959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31312TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Nov 14, 2023 Accepting new patients
Signify Health, LLC CurrentSince Aug 13, 2023 Accepting new patients
Sentara Medical Group CurrentSince Oct 1, 2023 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Southeastern Physician Services PC CurrentSince Sep 6, 2024 Accepting new patients

Locations

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 984-3975

Interoperability endpoints

  • Direct secure messaging: jessica.gulch@hca1.eclinicaldirectplus.com
  • Direct secure messaging: jgulch721903@direct.vumc.org

Organizations & group practices 6

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 3

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1821650474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 MAIN ST STE 132",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639297",
            "telephone_number": "423-468-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 MAIN ST STE 132",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639297",
            "telephone_number": "423-468-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-2848",
            "fax_number": "317-962-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sentara Cir Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-984-3975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113847",
            "country_code": "US",
            "telephone_number": "423-559-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULCH",
        "first_name": "JESSICA",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012727A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024177824",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71012727A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "31312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgulch@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "OSBORNE",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.