Individual provider Active NPI

Sadonya Meadows Allen, PHD

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1740586726
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20770 Issued in TN
Practice address
12216 Bluff Shone Dr.
Knoxville, TN 37922
Phone
(865) 382-6657
NPI assigned
Feb 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 192184 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20770 TN Primary

Addresses

Primary practice location

12216 Bluff Shone Dr.
Knoxville, TN 37922

Mailing address

116 Concord Rd
Ste 100
Knoxville, TN 37934-2941

Other identifiers 1

IdentifierTypeStateIssuer
1519941MedicaidTN

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
I20160526001483 TN Practitioner - Nurse Practitioner 4587954946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Tennessee Addiction SpecialistsGroup PAC ID 6507292067, 7 clinicians
Southland Behavioral HealthGroup PAC ID 4486940459, 8 clinicians

Practice addresses (Care Compare)

2036 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone (865) 268-4360

9220 Park W Blvd
Suite 1
Knoxville, TN 37923-4405
Phone (865) 247-6754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
192184TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Recovery Addiction Specialist, LLC Psychiatric/Mental Health CurrentSince Sep 28, 2017 Accepting new patients
Southland Health Services, LLC CurrentSince Mar 13, 2024 Accepting new patients
East Tennessee Addiction Specialists CurrentSince Sep 1, 2021 Accepting new patients

Locations

659 Morganton Square Dr
Maryville, TN 37801
Phone (865) 406-2715

2036 Chilhowee Medical Park
Maryville, TN 37804
Phone (865) 268-4360

111 Station Dr
Bldg 3
Maryville, TN 37804
Phone (865) 268-4360

111 Station Dr
Maryville, TN 37804
Phone (865) 388-2341

3606 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 587-4107

20445 Alberta St
Oneida, TN 37841
Phone (423) 286-7638

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": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1740586726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CONCORD RD",
            "address_2": "STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12216 BLUFF SHONE DR.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922",
            "telephone_number": "865-382-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS ALLEN",
        "first_name": "SADONYA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "192184",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "20770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519941",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.