Sallie Booth, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Knoxville, TN
NPI 1578285854 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1578285854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 32445 (TN)
- Practice address
- 9221 Middlebrook Pike Ste 102
Knoxville, TN 37931-4764 - Phone
- (865) 219-1989
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Health System, Inc.
Practice addresses (Care Compare)
11440 Parkside Dr
Suite 202
Knoxville, TN 37934-2661
Phone (865) 305-5622
1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218
1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333
1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640
1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740
2681 Andersonville Hwy
Suite 102
Clinton, TN 37716-6706
Phone (865) 494-5960
Hospital & facility affiliations
- University Health System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230224000351 | TN | Practitioner - Nurse Practitioner | 6507239456 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32445 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System, Inc | Current | Accepting new patients | |
| University Health System, Inc | Current |
Accepting new patients | |
| University Health System Inc | Current |
Accepting new patients | |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients |
Locations
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32445 | TN | Yes |
Addresses
Primary practice location
9221 Middlebrook Pike Ste 102
Knoxville, TN 37931-4764
Mailing address
9221 Middlebrook Pike Ste 102
Knoxville, TN 37931-4764
Phone (865) 219-1989
Other providers in Knoxville, TN
- Jessica B Boone
- Jonathan David Boone
- Laura Ellen Boone
- Ramona Boone
- Colin Douglas Booth
- Deborah Boozer
- Sherril M Boozer
- Srinivas Boppana
- Lydia Borah
- Amanda Brooke Borden
All providers in Knoxville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.