Active NPI
Michelle Sonnichsen-Kumm
- Family Nurse Practitioner
- Mount Juliet, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27569
- Practice address
- 3500 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3059 - Phone
- (615) 758-5672
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 27569 | TN | Primary |
Addresses
Primary practice location
3500 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3059
Mailing address
3500 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3059
Phone (615) 758-5672
Other practice location 1
406 Avalon Isle
MT Juliet, TN 37122-2287
Phone (615) 478-2564
Other practice location 2
562 W Main St
Cookeville, TN 38506-5382
Phone (931) 854-9602
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Silver Hill Medical Clinic | Past | Accepting new patients |
Locations
562 W Main St
Cookeville, TN 38506
Phone (931) 854-9601
817 W Main St
Livingston, TN 38570
Phone (931) 219-2091
Interoperability endpoints
- https://api.platform.athenahealth.com/17845/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Primary Care Clinic/Center
- Murfreesboro, TN
- NPI 1285132522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1821610668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N MOUNT JULIET RD STE 201",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223059",
"telephone_number": "615-758-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N MOUNT JULIET RD STE 201",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223059",
"telephone_number": "615-758-5672"
}
],
"practiceLocations": [
{
"address_1": "406 Avalon Isle",
"address_purpose": "LOCATION",
"city": "MT Juliet",
"state": "TN",
"postal_code": "371222287",
"country_code": "US",
"telephone_number": "615-478-2564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "562 W Main St",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385065382",
"country_code": "US",
"telephone_number": "931-854-9602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONNICHSEN-KUMM",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "27569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
- Trevor Ericson Smith, FNP-C,HB-BC,DC FASA.
- Wyatt Maclay Smith, PHARMD
- Devon Taylor Smotherman, RBT
- Nicholas John Sobieralski, BCBA
- Allyson E Somers, M.D.
- Michelle Southard
- Southeastern Dental of Mt Juliet PLLC
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Spine and Sport LLC (Optimal Health Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.