Individual provider Active NPI

Sarah Branham, FNP-C

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1083300487
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000033502 Issued in TN
Practice address
4773 Ellen Cir
Cookeville, TN 38501-4685
Phone
(931) 319-5734
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000033502 TN Primary

Addresses

Primary practice location

4773 Ellen Cir
Cookeville, TN 38501-4685

Mailing address

4773 Ellen Cir
Cookeville, TN 38501-4685
Phone (931) 319-5734

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003043 TN Practitioner - Nurse Practitioner 5991225500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ken Homolya MD LLCGroup PAC ID 5799960464, 12 clinicians

Practice addresses (Care Compare)

625 E Main St
Suite 3
Hendersonville, TN 37075-2602
Phone (615) 431-5484

Hospital & facility affiliations

  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000033502TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Homolya MD LLC CurrentSince Jun 16, 2025 Accepting new patients
Ken Homolya, MD, LLC CurrentSince Jun 16, 2025 Accepting new patients
Putnam Emergency Physicians, PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

929 W Jackson St
Ste A
Cookeville, TN 38501
Phone (931) 372-1799

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

103 Hazel Path
Ste 7
Hendersonville, TN 37075
Phone (615) 431-5484

625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484

5114 Old Hickory Blvd
Ste 201
Hermitage, TN 37076
Phone (615) 431-5484

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJICA/Endpoint/EHJICA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1083300487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 ELLEN CIR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014685",
            "telephone_number": "931-319-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 ELLEN CIR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014685",
            "telephone_number": "931-319-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "SARAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000033502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.