Individual provider Active NPI

Rachel Nicole Sadler, FNP-C

  • Family Nurse Practitioner
  • White Bluff, TN
National Provider Identifier
1811679178
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34229 Issued in TN
Practice address
167 Diane Loop
White Bluff, TN 37187-2902
Phone
(615) 627-7544
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 34229 TN Primary

Addresses

Primary practice location

167 Diane Loop
White Bluff, TN 37187-2902

Mailing address

167 Diane Loop
White Bluff, TN 37187-2902
Phone (615) 627-7544

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
I20231016001388 TN Practitioner - Nurse Practitioner 1658726385 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 6, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 6, 2023 Accepting new patients

Locations

2377 Fairview Blvd
Fairview, TN 37062
Phone (615) 799-0101

Organizations & group practices 2

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1811679178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 DIANE LOOP",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371872902",
            "telephone_number": "615-627-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 DIANE LOOP",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371872902",
            "telephone_number": "615-627-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bluff, TN

Sources for this page

Verify at the official NPI Registry.