Sara Danette Magoun, MSN, APN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19571 Issued in TN

Practice address

355 New Shackle Island Rd
Tristar Hendersonville/Portland Emergency Department
Hendersonville, TN 37075-2479

Phone

(615) 338-1258

NPI assigned

Jan 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1174912216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LAKE PARK DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754345",
            "telephone_number": "615-525-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD",
            "address_2": "TRISTAR HENDERSONVILLE/PORTLAND EMERGENCY DEPARTMENT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479",
            "telephone_number": "615-338-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOUN",
        "first_name": "SARA",
        "middle_name": "DANETTE",
        "credential": "MSN, APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M& S Trans
• Sarah Michelle Maclyman, M.D.
• Madden Interpersonal Wellness, PLLC
• Brandee J. Madden, DNP, PMHNP-BC
• Joseph Radcliff Magoun, M.D.
• McClain Elise Maiolo, FNP
• Viktoriia Makarova
• Jeremiah Maldonado
• Shaine Talia Malekgoodar, LPC-MSHP
• Mackenize Malin

• Family Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, 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 Jan 13, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.