Active NPI
Stacie Sowell, FNP-C
- Family Nurse Practitioner
- Somerville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29045
- Practice address
- 25 Woodbridge Rd
Somerville, TN 38068-1242 - Phone
- (901) 465-6353
- Fax
- (833) 902-3599
- NPI assigned
- Feb 5, 2021
- Last updated
- Jan 18, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29045 | TN | |
| Family Nurse Practitioner | 363LF0000X | 29045 | TN | Primary |
Addresses
Primary practice location
25 Woodbridge Rd
Somerville, TN 38068-1242
Mailing address
25 Woodbridge Rd
Somerville, TN 38068-1242
Phone (901) 465-6353
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5865 Ridgeway Ctr Pkwy
Memphis, TN 38120-4032
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29045 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L Seaton | Current | Accepting new patients | |
| Curana Health of Tennessee LLC | Nurse Practitioner | Current | Accepting new patients |
| Professional Imaging of Tennessee | Past | Accepting new patients | |
| Wilder Clinic | Past | Accepting new patients |
Locations
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
16530 US Highway 64
Somerville, TN 38068
Phone (901) 813-8138
16532 US Highway 64
Somerville, TN 38068
Phone (901) 560-2920
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Somerville, TN
- NPI 1073569901
-
- Family Medicine Physician
- Sunerville, TN
- NPI 1588675276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1710579388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WOODBRIDGE RD",
"city": "SOMERVILLE",
"state": "TN",
"postal_code": "380681242",
"telephone_number": "901-465-6353",
"fax_number": "833-902-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WOODBRIDGE RD",
"city": "SOMERVILLE",
"state": "TN",
"postal_code": "380681242",
"telephone_number": "901-465-6353",
"fax_number": "833-902-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWELL",
"first_name": "STACIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "29045",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, TN
- Somerville Dental Associates
- Somerville Dialysis Center LLC (Somerville Dialysis)
- Somerville Emergency Services, LLC
- Somerville Emergency Services, LLC
- Somerville Medical Clinic,Inc
- SS Holdings, LLC
- State of Tennessee (Fayette County Health Department)
- Steven Zambrano, DDS, PLLC (Somerville Dental Care)
- Marie Middlecoff Stevens, DPH
- Supportive Services,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.