Individual provider Active NPI

Sarah C. Bannister, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1700178258
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15789 Issued in TN
Practice address
301 Clark St
Knoxville, TN 37921-6328
Phone
(865) 588-1718
Fax
(865) 338-5897
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15789 TN Primary

Addresses

Primary practice location

301 Clark St
Knoxville, TN 37921-6328

Mailing address

301 Clark St
Knoxville, TN 37921-6328
Phone (865) 588-1718

Other identifiers 2

IdentifierTypeStateIssuer
15789OtherTNADVANCED PRACTICE NURSE
Q019285MedicaidTN

Other names 1

  • Sarah F. Campbell Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120612000380 TN Practitioner - Nurse Practitioner 6406010032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Power of Three PsychiatryGroup PAC ID 5890129464, 6 clinicians

Practice addresses (Care Compare)

301 Clark St
Knoxville, TN 37921-6328
Phone (865) 588-1718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Homecare CurrentSince Apr 17, 2012 Accepting new patients
Power of Three Psychiatry Psychiatric/Mental Health CurrentSince May 9, 2018 Accepting new patients
Covenant Homecare CurrentSince Apr 17, 2012 Accepting new patients
Thompson Oncology Group CurrentSince May 14, 2016 Accepting new patients

Locations

Knoxville, TN 37995

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

305 Westfield Rd
Knoxville, TN 37919
Phone (865) 409-5001

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

301 Clark St
Knoxville, TN 37921
Phone (865) 588-1718

Dept 888078
Knoxville, TN 37995

Interoperability endpoints

  • Direct secure messaging: havenfamilypsychiatry.sarahbannister@134921.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1700178258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLARK ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216328",
            "telephone_number": "865-588-1718",
            "fax_number": "865-338-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CLARK ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216328",
            "telephone_number": "865-588-1718",
            "fax_number": "865-338-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "SARAH",
        "middle_name": "C.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "15789",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019285",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CAMPBELL",
            "middle_name": "F.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.