Active NPI
Jennifer Lynne Jaynes, DO
- Pediatrics Physician
- Knoxville, TN
National Provider Identifier
1942643853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3061
- Practice address
- 10857 Hardin Valley Rd
Knoxville, TN 37932-1410 - Phone
- (865) 690-2682
- Fax
- (866) 529-5509
- NPI assigned
- Apr 10, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3061 | TN | Primary |
Addresses
Primary practice location
10857 Hardin Valley Rd
Knoxville, TN 37932-1410
Mailing address
PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895
Other practice location 1
224 S Peters Rd Ste 105
Knoxville, TN 37923-5207
Phone (865) 470-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q028362 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Children'S Primary Care Center, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Knoxville, TN
- NPI 1235350901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1942643853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15004",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379015004",
"telephone_number": "865-541-8895",
"fax_number": "865-633-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10857 HARDIN VALLEY RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321410",
"telephone_number": "865-690-2682",
"fax_number": "866-529-5509"
}
],
"practiceLocations": [
{
"address_1": "224 S Peters Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379235207",
"country_code": "US",
"telephone_number": "865-470-8844",
"fax_number": "866-479-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYNES",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "3061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q028362",
"state": "TN"
}
],
"endpoints": [],
"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 Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.