Active NPI
Sandra Niesen, FNP
- Family Nurse Practitioner
- Brentwood, TN
National Provider Identifier
1952599300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN7917
- Practice address
- 300 Mayfield Sta
Brentwood, TN 37027-7651 - Phone
- (615) 333-5815
- Fax
- (615) 333-5815
- NPI assigned
- Oct 11, 2007
- 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 | APN7917 | TN | Primary |
Addresses
Primary practice location
300 Mayfield Sta
Brentwood, TN 37027-7651
Mailing address
300 Mayfield Sta
Brentwood, TN 37027-7651
Phone (615) 333-5815
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7917 | TN | MD | Mental Health Counselor |
| APN7917 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1952599300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAYFIELD STA",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277651",
"telephone_number": "615-333-5815",
"fax_number": "615-333-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAYFIELD STA",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277651",
"telephone_number": "615-333-5815",
"fax_number": "615-333-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIESEN",
"first_name": "SANDRA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN7917",
"primary": true
}
],
"identifiers": [],
"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 Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.