Active NPI
Debra Sandercock
- Family Nurse Practitioner
- Greeneville, TN
National Provider Identifier
1750550869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARN0000012945
- Practice address
- 428 E Vann Rd
Greeneville, TN 37743-7202 - Phone
- (423) 278-2955
- Fax
- (423) 278-1976
- NPI assigned
- Feb 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARN0000012945 | TN | Primary |
Addresses
Primary practice location
428 E Vann Rd
Greeneville, TN 37743-7202
Mailing address
428 E Vann Rd
Greeneville, TN 37743-7202
Phone (423) 278-2955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARN0000012945 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1750550869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 E VANN RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377437202",
"telephone_number": "423-278-2955",
"fax_number": "423-278-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E VANN RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377437202",
"telephone_number": "423-278-2955",
"fax_number": "423-278-1976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERCOCK",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "ARN0000012945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
- Rural Health Services Consortium of Upper East Tennessee Inc
- Rural Health Services Consortium of Upper East Tennessee Inc
- William Forrest Rymer, SLPE
- Remy Sagadraca, MD
- Valerie O'Darlene Sams, RDH
- Sandlin Dialysis LLC
- Alisia Marie Santillan Askew, PTA
- Ariana Catherine Sarantidis, RN, BSN
- Suranny Sarria, FNP-C
- Eva Karol Sasala, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.