Individual provider Active NPI

Jennifer King, NPC

  • Family Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1992847404
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000012511 Issued in TN
Practice address
1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306
Phone
(615) 790-0567
Fax
(615) 595-8030
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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 0000012511 TN Primary

Addresses

Primary practice location

1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306

Mailing address

1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306
Phone (615) 790-0567

Other identifiers 1

IdentifierTypeStateIssuer
1511945MedicaidTN

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
I20071228000422 TN Practitioner - Nurse Practitioner 2062592256 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000012511TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center CurrentSince Apr 30, 2016 Accepting new patients
Vanderbilt Health and Williamson Medical Center Clinics and Services, Family CurrentSince Jul 1, 2013 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

919 Murfreesboro Rd
Franklin, TN 37064
Phone (615) 791-7373

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

2410 8th Ave S
Nashville, TN 37204
Phone (615) 630-6500

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

3098 Campbell Station Pkwy
Spring Hill, TN 37174
Phone (615) 302-1111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1992847404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD",
            "address_2": "SUITE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641306",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD",
            "address_2": "SUITE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641306",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000012511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511945",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.