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

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley MedicalGroup PAC ID 8820471881, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Medical

  • Family Nurse Practitioner
  • Jacksboro, TN
  • NPI 1811631518
  Medicare reassignment Care Compare group NPD Authorized official
• Jacksboro Urgent Care

  • Urgent Care Clinic/Center
  • Jacksboro, TN
  • NPI 1629536362
  Medicare reassignment NPD
• Thompson Oncology Group

  dba DBA Covenant Health Oncology Group

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1619975737
  Medicare reassignment NPD

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

• Campbell County Hma, LLC

  dba Tennova Healthcare-LaFollette Medical Center

  • General Acute Care Hospital
  • La Follette, TN
  • NPI 1639151301
  Care Compare affiliation

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

{
    "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": [],
    "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

• Family Nurse Practitioner in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• 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.