Individual provider Active NPI

Jennifer Coleman, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1841683778
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 19793 Issued in TN
Practice address
409 Walker Rd Ste B
Jackson, TN 38305-7417
Phone
(731) 281-4786
Fax
(731) 281-4823
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN 19793 TN Primary

Addresses

Primary practice location

409 Walker Rd Ste B
Jackson, TN 38305-7417

Mailing address

1230 India Rd
Paris, TN 38242-7198
Phone (731) 336-0715

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
I20150817002598 TN Practitioner - Nurse Practitioner 7416262688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-County Home Health and Hospice, LLCGroup PAC ID 7214934058, 7 clinicians

Practice addresses (Care Compare)

409 Walker Rd
Suite B
Jackson, TN 38305-7417
Phone (731) 410-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN 19793TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Home Health and Hospice, LLC CurrentSince Apr 25, 2023 Accepting new patients
Henry County Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Henry County Medical Center CurrentSince Apr 1, 2021 Accepting new patients

Locations

409 Walker Rd
Ste B
Jackson, TN 38305
Phone (731) 281-4786

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Interoperability endpoints

  • Direct secure messaging: jcoleman@wihd.curemd.direct-ci.com
  • 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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1841683778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 INDIA RD",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382427198",
            "telephone_number": "731-336-0715",
            "fax_number": "888-315-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WALKER RD STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057417",
            "telephone_number": "731-281-4786",
            "fax_number": "731-281-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN 19793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.