Individual provider Active NPI

Jill Weida

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1982009825
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000019309 Issued in TN
Practice address
300 20TH Ave N
Nashville, TN 37203-2131
Phone
(615) 284-4646
Fax
(615) 284-4675
NPI assigned
Nov 4, 2014
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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 APN0000019309 TN Primary

Addresses

Primary practice location

300 20TH Ave N
Nashville, TN 37203-2131

Mailing address

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-4646

Other identifiers 3

IdentifierTypeStateIssuer
6032774OtherTNBLUE CROSS/BLUE SHIELD
Q010595MedicaidTN
P01402322OtherTNRR MEDICARE

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
I20141203002597 TN Practitioner - Nurse Practitioner 5294057196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 310
Nashville, TN 37203-2653
Phone (615) 620-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000019309TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Oct 6, 2014 Accepting new patients
Tennessee Oncology PLLC CurrentSince Feb 7, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 6, 2014 Accepting new patients
Tennessee Oncology CurrentSince Feb 7, 2025 Accepting new patients

Locations

2004 Hayes St
Ste 205
Nashville, TN 37203
Phone (615) 284-4646

2004 Hayes St
Ste 310
Nashville, TN 37203
Phone (615) 620-5535

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 284-4646

300 Stonecrest Blvd
Ste 400
Smyrna, TN 37167
Phone (615) 355-1770

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1982009825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-4646",
            "fax_number": "615-284-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-4646",
            "fax_number": "615-284-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDA",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "6032774",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010595",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01402322",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.