Individual provider Active NPI

Sarah Elizabeth Ryan, NURSE PRACTITIONER

  • Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1356890982
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21894 Issued in TN
Practice address
132 Maple Row Blvd Ste 550
Hendersonville, TN 37075-4786
Phone
(615) 822-3000
Fax
(615) 822-0073
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008920 NC
Nurse Practitioner 363L00000X 21894 TN Primary

Addresses

Primary practice location

132 Maple Row Blvd Ste 550
Hendersonville, TN 37075-4786

Mailing address

132 Maple Row Blvd Ste 550
Hendersonville, TN 37075-4786
Phone (615) 822-3000

Other names 1

  • Miss Sarah Elizabeth King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 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
I20170329000537 TN Practitioner - Nurse Practitioner 2365727633 Reassigns benefits to 2 organizations
I20170614002232 NC Practitioner - Nurse Practitioner 2365727633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008920NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Consulting Group PC CurrentSince Oct 15, 2021 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Landmark Medical of Tennessee PC CurrentSince May 22, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince May 22, 2023 Accepting new patients
Sr Medical Services, LLC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

132 Maple Row Blvd
Ste 550
Hendersonville, TN 37075
Phone (615) 822-3000

Interoperability endpoints

  • Direct secure messaging: ms_sryan33@landmarkhealth-direct.org

Organizations & group practices 5

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1356890982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAPLE ROW BLVD STE 550",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754786",
            "telephone_number": "615-822-3000",
            "fax_number": "615-822-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAPLE ROW BLVD STE 550",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754786",
            "telephone_number": "615-822-3000",
            "fax_number": "615-822-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008920",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KING",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.