Sandra S Kovach, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

42793 Issued in TN

Practice address

355 BMH Physicians Office BLDG
Maryville, TN 37804-5820

Phone

(865) 980-5060

Fax

(865) 980-5066

NPI assigned

Dec 23, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1497732168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014703",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BMH PHYSICIANS OFFICE BLDG",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045820",
            "telephone_number": "865-980-5060",
            "fax_number": "865-980-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "SANDRA",
        "middle_name": "S",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008550",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Kocotos Jr.
• Nicholas Cohen Kolinsky, DO
• Michael Earnest Konrad, D.M.D.
• Kyle Koslowski, DC
• Arthur C Kote, D.D.S.
• Taylor Grace Kovacic, OTR
• Lauren Elizabeth Kramer, MSSW
• John Francis Kriese, DO, MSPH
• Karthik R Krishnan, MD
• Lauren Kroenlein

• Family Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.