Individual provider Active NPI

Sandra J Kuffrey, NP

  • Family Nurse Practitioner
  • Spring City, TN
National Provider Identifier
1801055751
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN13312 Issued in TN
Practice address
800 New Lake Road
Suite 100
Spring City, TN 37381-5460
Phone
(423) 365-9000
Fax
(423) 365-9077
NPI assigned
Jun 5, 2008
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN13312 TN Primary

Addresses

Primary practice location

800 New Lake Road
Suite 100
Spring City, TN 37381-5460

Mailing address

800 New Lake Road
Suite 100
Spring City, TN 37381-5460
Phone (423) 365-9000

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
I20080715000775 TN Practitioner - Nurse Practitioner 4587737119 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN13312TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Regenerative Medicine PC CurrentSince Feb 1, 2021 Accepting new patients

Locations

6711 Mountain View Rd
Ste 115
Ooltewah, TN 37363
Phone (423) 238-1277

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1801055751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NEW LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815460",
            "telephone_number": "423-365-9000",
            "fax_number": "423-365-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NEW LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815460",
            "telephone_number": "423-365-9000",
            "fax_number": "423-365-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFFREY",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN13312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring City, TN

Sources for this page

Verify at the official NPI Registry.