Active NPI
Teresa Diane Bennett, R.N.
- Community Health Registered Nurse
- Sevierville, TN
National Provider Identifier
1689720146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN0000100595
- Practice address
- 227 Cedar St
Sevierville, TN 37862-3838 - Phone
- (865) 453-1032
- Fax
- (865) 453-7271
- NPI assigned
- Jan 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN0000100595 | TN | Primary |
Addresses
Primary practice location
227 Cedar St
Sevierville, TN 37862-3838
Mailing address
2235 Linn View Dr
Seymour, TN 37865-4445
Phone (865) 310-5665
Other names 1
- Teresa Diane Sparks
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000100595 | TN | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689720146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 LINN VIEW DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378654445",
"telephone_number": "865-310-5665",
"fax_number": "865-774-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 CEDAR ST",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378623838",
"telephone_number": "865-453-1032",
"fax_number": "865-453-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "TERESA",
"middle_name": "DIANE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "RN0000100595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "SPARKS",
"middle_name": "DIANE",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.