Sandra Kilburn Daniel, ACNP-BC
Individual provider Active NPI Family Nurse Practitioner · Fayetteville, TN
NPI 1992947568 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1992947568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A158353 (IA)
- Practice address
- 106 Medical Center Blvd
Fayetteville, TN 37334-2684 - Phone
- (931) 438-1100
- NPI assigned
- Mar 29, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 34
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Fast Pace Medical Clinic PLLC
Maury Regional Hospital
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241
1090 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-0019
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232
1321 Huntsville Hwy
Fayetteville, TN 37334-3603
Phone (855) 632-3278
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
600 S James M Campbell Blvd
Columbia, TN 38401-4334
Phone (931) 398-1757
617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901
811 N Main St
Mt Pleasant, TN 38474-1017
Phone (931) 379-3229
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.45 of 100
- Quality
- 42.88
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 74.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100623000872 | TN | Practitioner - Nurse Practitioner | 5294866067 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14014 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| High Forest Health Group | Current |
Accepting new patients | |
| Maury Regional Hospital | Current |
Accepting new patients | |
| App of Tennessee Ed, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Maury Regional Medical Group, Inc | Acute Care | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Southeastern Physician Services PC | Nurse Practitioner | Current |
Accepting new patients |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Joe I Hall MD PC | Past | Accepting new patients | |
| Cardiovascular Anesthesiologists PC | Nurse Practitioner | Past |
Accepting new patients |
| Express Med of Alabama LLC | Past | Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
2478 Nashville Hwy
Ste A
Columbia, TN 38401
Phone (931) 388-9706
1218 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4114
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100
120 Kittrell St
Hohenwald, TN 38462
Phone (931) 796-1818
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
110 Kittrell St
Hohenwald, TN 38462
Phone (931) 295-3406
129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A158353 | IA | Yes |
| Acute Care Nurse Practitioner | 363LA2100X | 14014 | TN | |
| Family Nurse Practitioner | 363LF0000X | 239300 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 14014 | TN |
Addresses
Primary practice location
106 Medical Center Blvd
Fayetteville, TN 37334-2684
Mailing address
910 Hillcrest St
Lawrenceburg, TN 38464-4048
Phone (931) 762-6875
Other practice location 1
1265 E College St
Pulaski, TN 38478-4541
Phone (931) 363-9374
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518500 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sandra.daniel@lchealthsystem.com | Health Information Exchange (HIE) |
Other providers in Fayetteville, TN
- Harold Crutcher
- Charles Wayne Damron
- Jimmy David Damron
- Ali Brooke Daniel
- Jimmy M Daniel
- William Daniel
- Dash Transport LLC
- Lesley K Davidson
- Brenda Michele Davis
- Daniel Dejarnatt
All providers in Fayetteville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.