Sharon G Anderson, NP
Individual provider Active NPI Nurse Practitioner · Dayton, TN
NPI 1023053071 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1023053071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APN0000011666 (TN)
- Practice address
- 455 Chickamauga Dr
104
Dayton, TN 37321-4286 - Phone
- (423) 570-0252
- Fax
- (423) 570-0256
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060323000270 | TN | Practitioner - Nurse Practitioner | 1557379146 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000011666 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Urgent Care PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Coverage Services, PC | Nurse Practitioner | Past | Accepting new patients |
Locations
2021 Hamilton Place Blvd
Chattanooga, TN 37421
Phone (423) 855-9285
419 N Market St
Ste 100
Chattanooga, TN 37405
Phone (423) 414-3012
4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500
2021 Hamilton Place Blvd
Ste G
Chattanooga, TN 37421
Phone (423) 899-6222
455 Chickamauga Dr
Ste 104
Dayton, TN 37321
Phone (423) 570-0252
403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700
4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700
524 Market Dr
Lenoir City, TN 37771
Phone (865) 988-0096
525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265
2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000011666 | TN | Yes |
Addresses
Primary practice location
455 Chickamauga Dr
104
Dayton, TN 37321-4286
Mailing address
6170 Shallowford Rd
101
Chattanooga, TN 37421-1892
Phone (423) 648-4500
Other providers in Dayton, TN
- Agilitas USA, Inc
- Aging Gracefully Home Care
- Alan L. Crews MD
- David Michael Allport Jr.
- Benjamin Edward Anderson
- Ian Luke Andrews
- Karen Bernice Arnold
- Jared Milen Arthur
- James Kenly Ayres
- Kellie Dianne Azor
All providers in Dayton, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.