Kristie M Sanders, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23774 Issued in TN

Practice address

10 Eldad Rd
Fayetteville, TN 37334-7005

Phone

(931) 433-2229

Fax

(931) 433-2398

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Tullahoma Pediatrics PLLC

  • Pediatrics Physician
  • Tullahoma, TN
  • NPI 1770562142
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1043710478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MONKS RD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346008",
            "telephone_number": "931-993-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELDAD RD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347005",
            "telephone_number": "931-433-2229",
            "fax_number": "931-433-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KRISTIE",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "23774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Robertson Jr., DPT
• Kendra Rodgers, NURSE PRACTITIONER
• Carla Rutledge, B.S.
• Paul D Sain, MD
• Laurraine Sakoane
• Sarah Moon Thelen MD PLLC
• Pauline S Sawyers, PHD
• Bartie C Scott, FNP
• Cara Scott, PT
• Paxton Seeley

• Family Medicine Physician in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.

Verify at the official NPI Registry.