Active NPI
Ali N Sorrell, FNP-C
- Family Nurse Practitioner
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25772
- Practice address
- 1418 W Main St
Lebanon, TN 37087-4824 - Phone
- (615) 453-7720
- NPI assigned
- Apr 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25772 | TN | Primary |
Addresses
Primary practice location
1418 W Main St
Lebanon, TN 37087-4824
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200
Other practice location 1
2945 Scottsville Rd Ste E32
Bowling Green, KY 42104-6514
Phone (270) 783-3992
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191113000188 | TN | Practitioner - Nurse Practitioner | 9739511726 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| Bradshaw Health, PLLC | Past | Accepting new patients |
Locations
5544 Old Hickory Blvd
Hermitage, TN 37076
Phone (615) 515-0029
1418 W Main St
Lebanon, TN 37087
Phone (615) 449-4653
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
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.
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
Family, TN
-
- Adult Health Nurse Practitioner
- Lebanon, TN
- NPI 1699214437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1003479601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108",
"telephone_number": "615-425-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 W MAIN ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874824",
"telephone_number": "615-453-7720"
}
],
"practiceLocations": [
{
"address_1": "2945 Scottsville Rd Ste E32",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421046514",
"country_code": "US",
"telephone_number": "270-783-3992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORRELL",
"first_name": "ALI",
"middle_name": "N",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "25772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.