Active NPI
Nancy P. Seal, FNP
- Family Nurse Practitioner
- Sneedville, TN
National Provider Identifier
1023339975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14895
- Practice address
- 2700 Main St
Sneedville, TN 37869-3041 - Phone
- (423) 439-4515
- Fax
- (423) 439-4060
- NPI assigned
- Jun 15, 2010
- 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 | 14895 | TN | Primary |
Addresses
Primary practice location
2700 Main St
Sneedville, TN 37869-3041
Mailing address
365 Stout Drive Box 70403
Johnson City, TN 37614-1703
Phone (423) 439-4515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN50780 | Other | TN | STATE OF TN |
| 1519110 | Medicaid | TN | |
| APN14895 | Other | TN | STATE OF TN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14895 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee State University | Current | Accepting new patients | |
| East Tennessee State University | Current | Accepting new patients |
Locations
2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819
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.
-
- Federally Qualified Health Center (FQHC)
- Johnson City, TN
- NPI 1093990608
-
- Federally Qualified Health Center (FQHC)
- Johnson City, TN
- NPI 1477660199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1023339975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 STOUT DRIVE BOX 70403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141703",
"telephone_number": "423-439-4515",
"fax_number": "423-439-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MAIN ST",
"city": "SNEEDVILLE",
"state": "TN",
"postal_code": "378693041",
"telephone_number": "423-439-4515",
"fax_number": "423-439-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAL",
"first_name": "NANCY",
"middle_name": "P.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "14895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TN",
"identifier": "RN50780",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1519110",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TN",
"identifier": "APN14895",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sneedville, TN
- Mary Jo Robbins, FNP
- Rural Health Services Consortium of Upper East Tennessee Inc
- Rural Health Services Consortium of Upper East Tennessee Inc
- Steven Schwartz, L.AC, L.MT
- Matthew Seal, PHARMD
- Malisha Dodson Seals, R.N.
- Smith-Turner Drug Store, Inc
- Ken B Smith, RPH
- Kendrick Smith, PHARM.D.
- John Douglas Snowden, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.