NPI Number: 1275878548

Clasification: Registered Nurse (163W00000X)

ZIP 37917

Phone Number: (865) 637-9711

Detailed Information

Mary Rachel Sheridan is a registered nurse in Knoxville, TN. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.�s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. The assigned NPI number for this provider is 1275878548 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

ZIP 37917-158
Phone: (865) 637-9711

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 163W00000X Registered Nurse 111319 TN Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1275878548 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name SHERIDAN The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name MARY The first name of the provider, if the provider is an individual.
5 Provider Middle Name RACHEL The middle name of the provider, if the provider is an individual.
6 Provider First Line Business Practice Location Address 201 W SPRINGDALE AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name KNOXVILLE The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name TN The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 379175158 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 8656379711 The telephone number associated with the location address of the provider being identified.
12 Provider Enumeration Date 11/28/2012 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 11/28/2012 The date that a record was last updated or changed.
14 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
15 Healthcare Provider Taxonomy Code 1 163W00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
16 Provider License Number 1 111319 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
17 Provider License Number State Code 1 TN The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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