Sallyann G Storer, DNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN6630 Issued in TN

Practice address

2330 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3673

Phone

(931) 227-4984

Fax

(931) 227-4985

NPI assigned

Mar 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sstorer@gaffordfamilymedicine.gwaydirect.com

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.

• Christopher E Gafford Dba Gafford Family Medicine

  dba Gafford Family Medicine

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1841662327
  Medicare reassignment NPD
• Sarah Moon Thelen MD PLLC

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1689971525
  Medicare reassignment NPD
• Canonico Ear, Nose and Throat, P.C.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Tullahoma, TN
  • NPI 1932177805
  NPD (past)
• Misty Dawn Slater PLLC

  dba Misty Slater MD

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1861986499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457329302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 THORNTON TAYLOR PKWY STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343673",
            "telephone_number": "931-227-4984",
            "fax_number": "931-227-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 THORNTON TAYLOR PKWY STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343673",
            "telephone_number": "931-227-4984",
            "fax_number": "931-227-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORER",
        "first_name": "SALLYANN",
        "middle_name": "G",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN6630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3901443",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Tennessee (Lincoln County Health Department)
• Samantha Lea Stephens, PA-C
• Zachary Stevens, BCBA, LBA
• Misty Dawn Stevenson, LICSW
• Stonebridge Family Counseling
• Angela C Strickland, PHARM.D.
• Julie L Styles, CRNP
• Sarah Dee Suddarth, PT, DPT
• Sandy Sullivan, NURSE PRACTITIONER
• Sunbridge Retirement Care Associates LLC (Fayetteville Care and Rehabilitation Center)

• Nurse Practitioner in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.