Samantha D Sixieme, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15242 Issued in TN

Practice address

2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891

Phone

(931) 272-2446

Fax

(855) 530-6144

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11153/brand/1/csg/1/fhir/r4

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.

• Restoring Health Clinic

  • Primary Care Nurse Practitioner
  • Clarksville, TN
  • NPI 1942766225
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1134427644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 LOWES DR W STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406891",
            "telephone_number": "931-272-2446",
            "fax_number": "855-530-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 LOWES DR W STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406891",
            "telephone_number": "931-272-2446",
            "fax_number": "855-530-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5829 High St W",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237034503",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIXIEME",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171266",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049160",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@restoringhealthclinic.com",
            "affiliation": "Y",
            "endpointDescription": "company email",
            "affiliationName": "RESTORING HEALTH CLINIC LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2237 Lowes Dr W Ste A",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370406891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sisters Home Health & Medical Services LLC
• Sites Vision Clinic
• Clifton G Sites, OD
• Melanie Jarrell Sites, FNP
• Crystal Sivilay
• Siyaa Healthcare LLC
• Chelsea Skaar
• Colleen Skelton, PT
• Emily Sara Skillman, DPT
• Kathleen M Skinner, CNA

• Family Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.