Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Oleg Ronin, ANP

Individual provider Family Nurse Practitioner · NPI 1730537481

Alex Oleg Ronin, ANP is a Nurse Practitioner in Soddy Daisy, Tennessee. Qualified in 2015, 11 years ago. Practices with En LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2016

Practice location Address checks out

210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone: (423) 332-6155
Fax: (423) 332-5293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN0000021206 (TN)

Record details

NPI number1730537481
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESDecember 13, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice En Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Soddy Daisy