Individual provider Active NPI

Amy Sieg, FNP

  • Family Nurse Practitioner
  • Milan, TN
National Provider Identifier
1295467249
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32974 Issued in TN
Practice address
9159 Telecom Dr
Milan, TN 38358-3425
Phone
(270) 703-4360
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32974 TN Primary
Registered Nurse 163W00000X 221249 TN

Addresses

Primary practice location

9159 Telecom Dr
Milan, TN 38358-3425

Mailing address

399 E Highway 22
Union City, TN 38261-8028
Phone (270) 703-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231214001229 KY Practitioner - Nurse Practitioner 2264881325 Reassigns benefits to 1 organization
I20240122002451 TN Practitioner - Nurse Practitioner 2264881325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221249TNMDRegistered Nurse

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1295467249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHWAY 22",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382618028",
            "telephone_number": "270-703-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 TELECOM DR",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583425",
            "telephone_number": "270-703-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEG",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32974",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "221249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.