Jordan Kee

Key facts

NPI

1831728591

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

4639 (TN)

Practice address

45 Herrington Rd
Camden, TN 38320-6782

Phone

(731) 441-0616

NPI assigned

Apr 5, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 5

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.

• Henry County Medical Center Hospitalist Physician · Paris, TN · NPI 1073765475
  Medicare reassignment NPD TN
• Saint Thomas Medical Partners Internal Medicine Physician · Nashville, TN · NPI 1437194669
  Medicare reassignment NPD TN
• Eagle Creek Emergency Group, PC Emergency Medicine Physician · Paris, TN · NPI 1134627557
  Medicare reassignment TN
• Hospital Medicine Services of TN, LLC Hospitalist Physician · Nashville, TN · NPI 1982301065
  Medicare reassignment TN
• Henry County Medical Center Rural Health Clinic/Center · Paris, TN · NPI 1588275317
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2023.

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1831728591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HERRINGTON RD",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383206782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HERRINGTON RD",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383206782",
            "telephone_number": "731-441-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Camden, TN · Physician Assistant in Tennessee