Active NPI
Sherry L Liles, FNP
- Family Nurse Practitioner
- Alcoa, TN
National Provider Identifier
1598836702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000005833
- Practice address
- 266 Joule St
Alcoa, TN 37701-2422 - Phone
- (865) 984-3864
- Fax
- (865) 380-2131
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 61750 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN0000005833 | TN | Primary |
Addresses
Primary practice location
266 Joule St
Alcoa, TN 37701-2422
Mailing address
PO Box 5358
Maryville, TN 37802-5358
Phone (865) 681-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61750 | TN | MD | Registered Nurse |
| APN0000005833 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Medical Group, PC | Past | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1598836702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5358",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378025358",
"telephone_number": "865-681-9148",
"fax_number": "865-380-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 JOULE ST",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012422",
"telephone_number": "865-984-3864",
"fax_number": "865-380-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "SHERRY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "61750",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000005833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.