Active NPI
Stephanie Sue Knowles, FNP-BC
- Family Nurse Practitioner
- Sparta, TN
National Provider Identifier
1821430877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000017776
- Practice address
- 411 Sewell Dr
Sparta, TN 38583-1223 - Phone
- (931) 738-4595
- Fax
- (931) 837-4596
- NPI assigned
- Jul 18, 2013
- Last updated
- Jul 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000017776 | TN | Primary |
Addresses
Primary practice location
411 Sewell Dr
Sparta, TN 38583-1223
Mailing address
387 Old Bildad Rd
Smithville, TN 37166-5362
Phone (615) 215-4459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000017776 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Physician Services Inc | Past | Accepting new patients | |
| Saint Thomas Medical Partners | Past | Accepting new patients | |
| White County Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1417950122
-
- Family Medicine Physician
- Sparta, TN
- NPI 1922332428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1821430877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 OLD BILDAD RD",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371665362",
"telephone_number": "615-215-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SEWELL DR",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831223",
"telephone_number": "931-738-4595",
"fax_number": "931-837-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "STEPHANIE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000017776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.