Jennifer Higginbotham

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

87242 Issued in TN

Practice address

1126 Cross Valley Rd
La Follette, TN 37766-4964

Phone

(423) 494-0165

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By 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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1881210953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 CROSS VALLEY RD",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377664964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 CROSS VALLEY RD",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377664964",
            "telephone_number": "423-494-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "87242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "01",
            "identifier": "01",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.yahoo.com",
            "affiliation": "N",
            "address_1": "1126 Cross Valley Rd",
            "city": "LA Follette",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377664964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Healthstar Physicians, P.C.
• Devon Ray Helton, NP
• Kaci Lauren Henard
• April Lynn Hicks
• Emily E Hicks, COTA/L
• Natalie Raye Higginbotham, NURSE
• Joseph Ryan Hoekstra, PT
• Amanda Lee Holland, APRN
• Rachel Lyn Holloway, PA-C
• James Holsemback, COTA/L

• Licensed Practical Nurse in La Follette, TN
• Providers in La Follette, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.