Individual provider Active NPI

Sara Jones, APRN

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1427945344
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
39717 Issued in TN
Practice address
1515 Randall Park Dr
Knoxville, TN 37922-5794
Phone
(865) 609-0778
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 39717 TN Primary

Addresses

Primary practice location

1515 Randall Park Dr
Knoxville, TN 37922-5794

Mailing address

1515 Randall Park Dr
Knoxville, TN 37922-5794
Phone (865) 609-0778

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
I20260422001485 TN Practitioner - Nurse Practitioner 4385111830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9051 Executive Park Dr
Suite 500
Knoxville, TN 37923-4632

PO Box
Suite 833
Madison Heights, VA 24572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39717TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maltman Medical Center LLC Nurse Practitioner CurrentSince Mar 1, 2026 Accepting new patients

Locations

9051 Executive Park Dr
Ste 500
Knoxville, TN 37923
Phone (865) 337-7793

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14521/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1427945344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RANDALL PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225794",
            "telephone_number": "865-609-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RANDALL PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225794",
            "telephone_number": "865-609-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SARA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "39717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.