Jennifer Gail Daugherty, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000025171 Issued in TN

Practice address

820 W Race St
Kingston, TN 37763-2120

Phone

(865) 376-3406

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

No

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  TN

  Medicare reassignment Care Compare group NPD
• Elite Pain Consultants, PLLC

  • Pain Medicine Physician
  • Cleveland, TN
  • NPI 1497267173

  TN

  Medicare reassignment NPD
• Interventional Pain Consultants

  • Interventional Pain Medicine Physician
  • Cleveland, TN
  • NPI 1174241145

  TN

  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  Care Compare group NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Alcoa, TN
  • NPI 1093312415
  Care Compare group
• Covenant Medical Group, Inc

  • Urology Physician
  • Knoxville, TN
  • NPI 1386241859
  Care Compare group
• Covenant Medical Group, Inc

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1881636488
  Care Compare group
• Interventional Pain Consultants

  • Durable Medical Equipment & Medical Supplies
  • Ringgold, GA
  • NPI 1629932389
  NPD
• Kingston Family Practice, P.C.

  • Family Medicine Physician
  • Kingston, TN
  • NPI 1356432041
  NPD (past)

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

• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1710935408
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672

  Hospital

  Care Compare affiliation
• Roane County Medical Center

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Group Inc 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
• Roane Medical Center Hospital, Harriman, TN, CCN 440031
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daugherty.jennifer.gail@covenanthealth.cernerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2024.

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1982160628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632120",
            "telephone_number": "865-376-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632120",
            "telephone_number": "865-376-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "JENNIFER",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000025171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q090611",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daugherty.jennifer.gail@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "820 W Race St",
            "city": "Kingston",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377632120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Rhea Collins, PA-C
• Community Recovery Center of Roane County Inc
• Compounding Pharmacy of Kingston Inc
• Lauren Copeland, PTA
• Lindsay Carey Cunningham, RDN, LDN
• Laura Lynne Davis, PHARMACIST
• Scott E Davis, M.D.
• Douglas S Dewar, M.D.
• Shannon Ryan Di Iorio, DC
• Darren Tyler Duncan, PHARMD

• All providers in Kingston, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.