Individual provider Active NPI

Ashley Ann Sartain, FNP-C

  • Nurse Practitioner
  • Coalmont, TN
National Provider Identifier
1245791201
Registry record updated Mar 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25741 Issued in TN
Practice address
26842 Sr 108
Coalmont, TN 37313-2433
Phone
(931) 636-4786
NPI assigned
Mar 30, 2019
Last updated
Mar 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2019

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 25741 TN Primary

Addresses

Primary practice location

26842 Sr 108
Coalmont, TN 37313-2433

Mailing address

26842 Sr 108
Coalmont, TN 37313-2433
Phone (931) 636-4786

Other names 1

  • Ashley Ann Sanders Former name

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
I20190809001586 TN Practitioner - Nurse Practitioner 4486981628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Park MedicalGroup PAC ID 1456721224, 5 clinicians

Practice addresses (Care Compare)

13851 Hwy 28
Whitwell, TN 37397-5373
Phone (423) 658-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25741TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Park Medical CurrentSince Dec 1, 2022 Accepting new patients

Locations

13851 Highway 28
Whitwell, TN 37397
Phone (423) 658-9200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1245791201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26842 SR 108",
            "city": "COALMONT",
            "state": "TN",
            "postal_code": "373132433",
            "telephone_number": "931-636-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26842 SR 108",
            "city": "COALMONT",
            "state": "TN",
            "postal_code": "373132433",
            "telephone_number": "931-636-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTAIN",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SANDERS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coalmont, TN

Sources for this page

Verify at the official NPI Registry.