Individual provider Active NPI

Jennifer Rosson, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1922595099
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN233953 Issued in GA
Practice address
501 20TH St Ste 505
Knoxville, TN 37916
Phone
(865) 546-0157
Fax
(865) 374-2177
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 RN233953 GA Primary

Addresses

Primary practice location

501 20TH St Ste 505
Knoxville, TN 37916

Mailing address

501 20TH St Ste 505
Knoxville, TN 37916-1869
Phone (865) 546-0157

Other practice location 1

6300 Hospital Pkwy Ste 375
Johns Creek, GA 30097-2461
Phone (770) 771-5260

Other identifiers 1

IdentifierTypeStateIssuer
Q066528MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosson.jennifer@covenanthealth.cernerdirect.com

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
I20210708002418 TN Practitioner - Nurse Practitioner 3870929540 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN233953GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jun 21, 2021 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Jun 21, 2021 Accepting new patients

Locations

1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932

501 20th St
Ste 505
Knoxville, TN 37916
Phone (865) 546-0157

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Organizations & group practices 2

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1922595099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161869",
            "telephone_number": "865-546-0157",
            "fax_number": "865-374-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-546-0157",
            "fax_number": "865-374-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Hospital Pkwy Ste 375",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972461",
            "country_code": "US",
            "telephone_number": "770-771-5260",
            "fax_number": "770-771-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSON",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN233953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066528",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosson.jennifer@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "501 20th St Ste 505",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.