Kylie Anne Sicken, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA103095 Issued in MA

Practice address

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8231

Phone

(423) 869-3611

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1710891817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54710 ARROWHEAD DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483151219",
            "telephone_number": "586-256-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 CUMBERLAND GAP PKWY",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528231",
            "telephone_number": "423-869-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKEN",
        "first_name": "KYLIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA103095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Shay IV, PA-C
• Eva B Shay, D.O.
• Carol Ann Shelton
• Michael Eugene Shelton
• Joshua Wayne Shepherd, PA-C
• Bill Allen Surber, PHARMACIST
• Mekides Shewarega Tamerat
• Howard S Teitelbaum, D.O.
• Tennessee Cancer Specialists PLLC
• Jasmyne Thomas

• Physician Assistant in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.