Individual provider Active NPI

Valerie Jordan, APRN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1972157402
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26180 Issued in TN
Practice address
3403 Tazewell Pike Ste 102
Knoxville, TN 37918-2621
Phone
(865) 689-9966
Fax
(865) 374-2151
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 26180 TN Primary

Addresses

Primary practice location

3403 Tazewell Pike Ste 102
Knoxville, TN 37918-2621

Mailing address

3403 Tazewell Pike Ste 102
Knoxville, TN 37918-2621
Phone (865) 689-9966

Other identifiers 1

IdentifierTypeStateIssuer
Q087666MedicaidTN

Other names 1

  • Valerie Bergeron Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.valerie@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
I20240202002862 TN Practitioner - Nurse Practitioner 1951744259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

8707 Asheville Hwy
Knoxville, TN 37924-4502
Phone (865) 933-4159

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Dec 27, 2023 Accepting new patients
Covenant Medical Group, Inc CurrentSince Dec 27, 2023 Accepting new patients

Locations

3403 Tazewell Pike
Ste 102
Knoxville, TN 37918
Phone (865) 689-9966

8707 Asheville Hwy
Knoxville, TN 37924
Phone (423) 933-4159

Dept 888179
Knoxville, TN 37995

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

Interoperability endpoints

  • Direct secure messaging: jordan.valerie@covenanthealth.cernerdirect.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1972157402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 TAZEWELL PIKE STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182621",
            "telephone_number": "865-689-9966",
            "fax_number": "865-374-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 TAZEWELL PIKE STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182621",
            "telephone_number": "865-689-9966",
            "fax_number": "865-374-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "VALERIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q087666",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.valerie@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "8707 Asheville Hwy",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379244502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "BERGERON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.