Active NPI
Sandra Charlene Thompson, FNP
- Family Nurse Practitioner
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN5665
- Practice address
- 3300 Williams Enterprise Dr
Suite 1
Cookeville, TN 38506 - Phone
- (931) 528-9222
- Fax
- (931) 854-0907
- NPI assigned
- Aug 9, 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 | APN5665 | TN | Primary |
Addresses
Primary practice location
3300 Williams Enterprise Dr
Suite 1
Cookeville, TN 38506
Mailing address
3300 Williams Enterprise Dr.
Suite 1
Cookeville, TN 38506
Phone (931) 526-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3154952 | Other | TN | BLUE CROSS BLUE SHEILD TN |
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 |
|---|---|---|---|---|
| I20080617000187 | TN | Practitioner - Nurse Practitioner | 7911078167 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innovative Family Care, PLLC
Practice addresses (Care Compare)
3300 Williams Enterprise Dr
Suite 1
Cookeville, TN 38506-4224
Phone 9315289222112
Hospital & facility affiliations
- Quality Home Health
- Suncrest Home Health
- Cookeville Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5665 | TN | MD | Speech-Language Pathologist |
| APN5665 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Family Care, PLLC | Current | Accepting new patients | |
| Ambulatory Care Center of Wartburg Primary Care LLC | Current | Accepting new patients | |
| Crossville Medical Group PA | Past | Accepting new patients | |
| Tennessee Innovative Medical Services PLLC | Past | Accepting new patients | |
| Cumberland Spine & Sport, LLC | Past | Accepting new patients | |
| Fentress Family Care LLC | Past | Accepting new patients | |
| Covenant Medical Group, Inc | Past | Accepting new patients |
Locations
3300 Williams Enterprise Dr
Ste 1
Cookeville, TN 38506
Phone (931) 260-4770
Interoperability endpoints
- sthompson@innovativefamilycare.ssdirect.aprima.com
Organizations & group practices 7
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.
-
- Clinic/Center
- Wartburg, TN
- NPI 1427199819
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Multi-Specialty Clinic/Center
- Crossville, TN
- NPI 1053414698
-
- Pain Medicine Physician
- Jamestown, TN
- NPI 1245514306
-
- Primary Care Clinic/Center
- Jamestown, TN
- NPI 1700411592
-
- Vascular & Interventional Radiology Physician
- Knoxville, TN
- NPI 1114285400
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jamestown, TN
- NPI 1629073614
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
Hospital
-
- Home Health Agency
- Smithville, TN
- NPI 1003052697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1992715874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 WILLIAMS ENTERPRISE DR.",
"address_2": "SUITE 1",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38506",
"telephone_number": "931-526-1050",
"fax_number": "931-526-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WILLIAMS ENTERPRISE DR",
"address_2": "SUITE 1",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38506",
"telephone_number": "931-528-9222",
"fax_number": "931-854-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SANDRA",
"middle_name": "CHARLENE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN5665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD TN",
"identifier": "3154952",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.