Active NPI
Jennifer Rosson, FNP
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN233953
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q066528 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN233953 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Current | 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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.