Individual provider Active NPI

Jonathan Sanchez, FNP

  • Family Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1891282380
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23950 Issued in TN
Practice address
6059 Arbury Way Ste 101
Ooltewah, TN 37363-5001
Phone
(423) 238-8880
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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 23950 TN Primary

Addresses

Primary practice location

6059 Arbury Way Ste 101
Ooltewah, TN 37363-5001

Mailing address

8355 Summit Hill CT
Ooltewah, TN 37363-4814
Phone (386) 205-9245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180713000600 TN Practitioner - Nurse Practitioner 9133475684 Reassigns benefits to 1 organization
I20201014000858 GA Practitioner - Nurse Practitioner 9133475684 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FPSC, PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1021 Executive Dr
Ste 102
Hixson, TN 37343
Phone (423) 531-3398

6384 Artesian Cir
Ooltewah, TN 37363

4957 Swinyar Dr
Ste 109
Ooltewah, TN 37363
Phone (423) 396-9893

9219 Lee Hwy
Ste 103
Ooltewah, TN 37363
Phone (423) 531-3398

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24113/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.sanchez.1@24113.direct.athenahealth.com

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1891282380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 SUMMIT HILL CT",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634814",
            "telephone_number": "386-205-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 ARBURY WAY STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635001",
            "telephone_number": "423-238-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JONATHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.