Individual provider Active NPI

Kathy R Sorrell, RNC, FNP

  • Nurse Practitioner
  • Newport, TN
National Provider Identifier
1053381384
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN5348 Issued in TN
Practice address
103 Wilton Springs Road
Newport, TN 37821-6405
Phone
(423) 487-2222
Fax
(423) 623-7787
NPI assigned
Jan 26, 2006
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN42649 TN
Nurse Practitioner 363L00000X APN5348 TN Primary

Addresses

Primary practice location

103 Wilton Springs Road
Newport, TN 37821-6405

Mailing address

103 Wilton Springs Road
Newport, TN 37821-6405
Phone (423) 487-2222

Other identifiers 4

IdentifierTypeStateIssuer
3904936MedicaidTN
100011018OtherTNPHP TENNCARE
3032447OtherTNBCBST
3032446OtherTNBLUECARE-BOGARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN5348TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients

Locations

103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222

229 Hedrick Dr
Newport, TN 37821
Phone (423) 623-1057

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, 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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1053381384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WILTON SPRINGS ROAD",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378216405",
            "telephone_number": "423-487-2222",
            "fax_number": "423-623-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WILTON SPRINGS ROAD",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378216405",
            "telephone_number": "423-487-2222",
            "fax_number": "423-623-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "KATHY",
        "middle_name": "R",
        "credential": "RNC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN42649",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN5348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3904936",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100011018",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3032447",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE-BOGARD",
            "identifier": "3032446",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.