Individual provider Active NPI

Sydney Shadowens Walker, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1740910934
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31887 Issued in TN
Practice address
1940 Alcoa Hwy
Buidling E Suite 310
Knoxville, TN 37920
Phone
(865) 544-2800
Fax
(833) 908-0998
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 0000227268 TN
Family Nurse Practitioner 363LF0000X 31887 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Buidling E Suite 310
Knoxville, TN 37920

Mailing address

1940 Alcoa Hwy
Buidling E Suite 310
Knoxville, TN 37920
Phone (865) 544-2800

Other names 1

  • Sydney Nicole Shadowens Other 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
I20220727004316 TN Practitioner - Nurse Practitioner 0244612976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1940 Alcoa Hwy
Suite E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000227268TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Family CurrentSince Dec 1, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 1, 2022 Accepting new patients
University Health System, Inc Current Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 1, 2022 Accepting new patients
University Health System Inc CurrentSince Dec 1, 2023 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1940 Alcoa Hwy
Ste 310
Knoxville, TN 37920
Phone (865) 305-9873

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

701 Morganton Square Dr
Maryville, TN 37801
Phone (865) 982-7101

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1740910934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "BUIDLING E SUITE 310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-544-2800",
            "fax_number": "833-908-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "BUIDLING E SUITE 310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-544-2800",
            "fax_number": "833-908-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SYDNEY",
        "middle_name": "SHADOWENS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-07-22",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000227268",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "SHADOWENS",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.