Active NPI
Emma Leigh Sullivan, NP
- Nurse Practitioner
- Cookeville, TN
National Provider Identifier
1104751981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 42748
- Practice address
- 438 N Whitney Ave
Cookeville, TN 38501-2455 - Phone
- (931) 783-2616
- Fax
- (931) 783-2610
- NPI assigned
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 42748 | TN | Primary |
Addresses
Primary practice location
438 N Whitney Ave
Cookeville, TN 38501-2455
Mailing address
140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-2616
Other names 1
- Emma Stone
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Group, Inc | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
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.
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1104751981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 7TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011726",
"telephone_number": "931-783-2616",
"fax_number": "931-783-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 N WHITNEY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012455",
"telephone_number": "931-783-2616",
"fax_number": "931-783-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "EMMA",
"middle_name": "LEIGH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "42748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "STONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.