Stephanie Sheridan, ANP, MSN, CDN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN0000012194 Issued in TN

Practice address

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907

Phone

(423) 602-2750

Fax

(423) 602-2762

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Institute of Chattanooga, PLLCGroup PAC ID 1658671052, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.37 of 100Reported as individual

Quality

84.8

Improvement activities

40

Cost

77.6

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheridan@direct.vic.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Vascular Institute of Chattanooga, PLLC

  • Vascular & Interventional Radiology Physician
  • Chattanooga, TN
  • NPI 1205208352

  GA, TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1710078878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042435",
            "country_code": "US",
            "telephone_number": "423-698-6422",
            "fax_number": "423-629-5053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4312 Holiday Inn Express Way NW Unit 105",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373121469",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4622 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307368004",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 Highway 28 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473696",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "ANP, MSN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000012194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssheridan@vascularinstituteofchattanooga.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4622 Battlefield Pkwy",
            "city": "Ringgold",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307368004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssheridan@vascularinstituteofchattanooga.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4312 Holiday Inn Express Way NW Unit 105",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373121469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssheridan@vascularinstituteofchattanooga.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2358 Lifestyle Way Ste 100",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374214907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssheridan@vascularinstituteofchattanooga.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "980 Highway 28 Ste 102",
            "city": "Jasper",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373473696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlyn Sheppard, RD
• Jerome Arnold Sherard, MD
• Mattie Yulonda Sherard, NP-C
• Jan F Sherbak, PSY.D.
• Traci Sherbondy, PT
• Dakota Blake Sherlin
• Tiffani Sherlin
• Kay Sherman, FNP
• Sidney Sherman, M.S., SLP
• James Scott Sherrer, MD

• All providers in Chattanooga, TN
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.