Active NPI
Sydney Russell
- Family Nurse Practitioner
- Alcoa, TN
National Provider Identifier
1073465571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 41116
- Practice address
- 220 Associates Blvd
Alcoa, TN 37701-1943 - Phone
- (865) 238-6400
- NPI assigned
- Feb 10, 2026
- 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 | 41116 | TN | Primary |
Addresses
Primary practice location
220 Associates Blvd
Alcoa, TN 37701-1943
Mailing address
327 S Coleman Dr
Maryville, TN 37803-0580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q112456 | Medicaid | 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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Associates Blvd
Alcoa, TN 37701-1943
Phone (865) 238-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41116 | TN | MD | Emergency Medicine Physician |
Organizations & group practices 1
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 Medicine Physician
- Alcoa, TN
- NPI 1699710194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1073465571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 S COLEMAN DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378030580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ASSOCIATES BLVD",
"city": "ALCOA",
"state": "TN",
"postal_code": "377011943",
"telephone_number": "865-238-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-10",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "41116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q112456",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.