Individual provider Active NPI

Sydney Keener, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1104430966
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27950 Issued in TN
Practice address
2100 Clinch Ave Ste 120
Knoxville, TN 37916-2288
Phone
(865) 637-7290
Fax
(865) 637-7289
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27950 TN Primary

Addresses

Primary practice location

2100 Clinch Ave Ste 120
Knoxville, TN 37916-2288

Mailing address

2100 Clinch Ave Ste 120
Knoxville, TN 37916-2288
Phone (865) 637-7290

Other practice location 1

103 Foothills Mall Dr
Maryville, TN 37801-5513
Phone (865) 982-3803

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

103 Foothills Mall Dr
Maryville, TN 37801-5513
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27950TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatric Urology, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1104430966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162288",
            "telephone_number": "865-637-7290",
            "fax_number": "865-637-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162288",
            "telephone_number": "865-637-7290",
            "fax_number": "865-637-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Foothills Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378015513",
            "country_code": "US",
            "telephone_number": "865-982-3803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "SYDNEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.