Sandra Renee Bond, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23889 Issued in TN

Practice address

2707 Jacksboro Pike Ste 1a
Jacksboro, TN 37757-2752

Phone

(423) 907-8186

Fax

(423) 907-8187

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

Yes

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.

• Valley Medical

  • Family Nurse Practitioner
  • Jacksboro, TN
  • NPI 1811631518

  Family, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Jacksboro Urgent Care

  • Urgent Care Clinic/Center
  • Jacksboro, TN
  • NPI 1629536362

  TN

  Medicare reassignment NPD
• Thompson Oncology Group

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1619975737

  TN

  Medicare reassignment NPD

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

• Campbell County Hma, LLC

  • General Acute Care Hospital
  • Lafollette, TN
  • NPI 1639151301

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Medical 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bond.sandra@covenanthealth.cernerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2020.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1780185686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 JACKSBORO PIKE STE 1A",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572752",
            "telephone_number": "423-907-8186",
            "fax_number": "423-907-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 JACKSBORO PIKE STE 1A",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572752",
            "telephone_number": "423-907-8186",
            "fax_number": "423-907-8187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 White Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162300",
            "country_code": "US",
            "telephone_number": "865-331-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOND",
        "first_name": "SANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036604",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bond.sandra@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1915 White Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Baird, PA-C
• Valorie J Bell, NP
• Elisabeth Anne Belter, DDS
• Rebekah Elizabeth Blair, APRN, FNP-C
• Lauren Blakley, APRN, FNP-BC
• Laura Bowens
• Amanda Charlene Broughton, R.N.
• Jill Suzanne Browning, O.D.
• Hannah Vail Bunch, PA
• Richard R Burdeaux Sr., DO

• All providers in Jacksboro, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.