Individual provider Active NPI

Sherry Lee Ahlstrom, FNP

  • Family Nurse Practitioner
  • Sweetwater, TN
National Provider Identifier
1861265266
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35060 Issued in TN
Practice address
304 Wright St
Sweetwater, TN 37874-1181
Phone
(865) 213-8200
NPI assigned
Nov 7, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 35060 TN Primary

Addresses

Primary practice location

304 Wright St
Sweetwater, TN 37874-1181

Mailing address

325 Old Mine Rd
Sweetwater, TN 37874-5844
Phone (310) 956-5666

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
I20240326000259 TN Practitioner - Nurse Practitioner 4284071390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetwater Hospital AssociationGroup PAC ID 6608773775, 26 clinicians

Practice addresses (Care Compare)

2041 Hwy 411
Vonore, TN 37885-2515
Phone (423) 884-2133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Hospital Association CurrentSince Jan 15, 2024 Accepting new patients
Sweetwater Hospital Association Multi-Specialty CurrentSince Jan 15, 2024 Accepting new patients

Locations

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

1255 Highway 411
Ste 6
Vonore, TN 37885
Phone (865) 213-8401

2041 Highway 411
Vonore, TN 37885
Phone (423) 884-2133

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1861265266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OLD MINE RD",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378745844",
            "telephone_number": "310-956-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLSTROM",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.