Active NPI
Sherry Kinkade, FNP
- Family Nurse Practitioner
- Brentwood, TN
National Provider Identifier
1922055896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 56061
- Practice address
- 7003 Chadwick Dr Ste 350
Brentwood, TN 37027-3260 - Phone
- (615) 866-9623
- NPI assigned
- May 27, 2006
- 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 | 56061 | TN | Primary |
Addresses
Primary practice location
7003 Chadwick Dr Ste 350
Brentwood, TN 37027-3260
Mailing address
PO Box 762
McMinnville, TN 37111-0762
Phone (931) 273-3611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4120650 | Other | TN | BLUE CROSS |
| P00361932 | Other | TN | MEDICARE RAILROAD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050104000313 | TN | Practitioner - Nurse Practitioner | 9739137050 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coffee County Hospital Group Inc
Practice addresses (Care Compare)
482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5683 | TN | MD | Physician Assistant |
| 56061 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Medical Group LLC | Past | Accepting new patients | |
| Cane Ridge Emergency Physicians LLC | Past | Accepting new patients | |
| Southeastern Emergency Services P C | Past | Accepting new patients | |
| McMinnville Emergency Services LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Manchester, TN
- NPI 1700192028
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
-
- Emergency Medicine Physician
- MC Minnville, TN
- NPI 1689860413
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1922055896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 762",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371110762",
"telephone_number": "931-273-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 CHADWICK DR STE 350",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273260",
"telephone_number": "615-866-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINKADE",
"first_name": "SHERRY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "56061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4120650",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00361932",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.