Individual provider Active NPI

Sydney Nelson Stooksbury

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1437838463
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
35104 Issued in TN
Practice address
9330 Park West Blvd Ste 100
Knoxville, TN 37923-4309
Phone
(865) 373-7942
Fax
(865) 373-7235
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 35104 TN Primary

Addresses

Primary practice location

9330 Park West Blvd Ste 100
Knoxville, TN 37923-4309

Mailing address

9330 Park West Blvd Ste 100
Knoxville, TN 37923-4309
Phone (865) 373-7942

Other identifiers 1

IdentifierTypeStateIssuer
Q090209MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stooksbury.sydney@covenanthealth.cernerdirect.com

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
I20240318001533 TN Practitioner - Nurse Practitioner 6204273923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

9330 Parkwest Blvd
Suite 100
Knoxville, TN 37923-4309
Phone (865) 373-7942

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35104TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Mar 1, 2024 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Sep 23, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc CurrentSince Mar 1, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince Sep 23, 2024 Accepting new patients
Statcare Outpatient, LLC Nurse Practitioner PastSince Jul 1, 2023 Accepting new patients

Locations

9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942

1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920
Phone (865) 524-7471

9320 Park West Blvd
Ste 100
Knoxville, TN 37923

Dept 888179
Knoxville, TN 37995

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: stooksbury.sydney@covenanthealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1437838463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234309",
            "telephone_number": "865-373-7942",
            "fax_number": "865-373-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234309",
            "telephone_number": "865-373-7942",
            "fax_number": "865-373-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOKSBURY",
        "first_name": "SYDNEY",
        "middle_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "35104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q090209",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stooksbury.sydney@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9330 Park West Blvd Ste 100",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.