Individual provider Active NPI

Sean Joseph Baxter, FNP-BC

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1003326836
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36205 Issued in TN
Practice address
1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone
(865) 428-2773
NPI assigned
Oct 6, 2017
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN210886 TN
Pharmacy Technician 183700000X 60924 TN
Family Nurse Practitioner 363LF0000X 36205 TN Primary

Addresses

Primary practice location

1787 Veterans Blvd
Sevierville, TN 37862-6945

Mailing address

1728 Old Niles Ferry Rd
Maryville, TN 37803-5506
Phone (865) 684-8980

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
I20241223000312 TN Practitioner - Nurse Practitioner 7315474897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians Knoxville PLLCGroup PAC ID 9739573353, 7 clinicians

Practice addresses (Care Compare)

1415 Old Weisgarber Rd
Suite 350
Knoxville, TN 37909-1381
Phone (865) 588-1605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN210886TNMDRegistered Nurse
60924TNMDPharmacy Technician
36205TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince Oct 21, 2024 Accepting new patients
Faculty Physicians Knoxville, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Ultacare Medical PLLC CurrentSince Mar 22, 2025 Accepting new patients
Healthstar Physicians, P.C. Past Accepting new patients
Coffee Medical Group LLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

1415 Old Weisgarber Rd
Ste 350
Knoxville, TN 37909
Phone (865) 588-1605

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

Interoperability endpoints

  • Direct secure messaging: sean.baxter.1@25546.direct.athenahealth.com

Organizations & group practices 5

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1003326836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 OLD NILES FERRY RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035506",
            "telephone_number": "865-684-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-428-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "SEAN",
        "middle_name": "JOSEPH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN210886",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TN",
            "license": "60924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.