Individual provider Active NPI

Sarah Michelle Faulkner, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1780144246
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25617 Issued in TN
Practice address
6740 Lee Hwy
Chattanooga, TN 37421-2423
Phone
(423) 553-9394
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 289278 GA
Family Nurse Practitioner 363LF0000X 25617 TN Primary

Addresses

Primary practice location

6740 Lee Hwy
Chattanooga, TN 37421-2423

Mailing address

6740 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 553-9394

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
I20200226001114 TN Practitioner - Nurse Practitioner 8224465596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
En LLCGroup PAC ID 4385989557, 16 clinicians

Practice addresses (Care Compare)

1635 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-4983
Phone (423) 541-5102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
289278GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
En LLC CurrentSince Dec 15, 2021 Accepting new patients
Liberty Healthcare Partners CurrentSince Jan 5, 2026 Accepting new patients
Sentef Medical Center CurrentSince Sep 5, 2019 Accepting new patients
En LLC CurrentSince Dec 15, 2021 Accepting new patients

Locations

1635 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 541-5102

6740 Lee Hwy
Chattanooga, TN 37421
Phone (423) 498-5839

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1780144246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-553-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-553-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "289278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.