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

Destiny Sierra Blair

Individual provider Family Nurse Practitioner · NPI 1821715996

Destiny Sierra Blair is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2022, 4 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

130 W Ravine Rd Ste 3A
Kingsport, TN 37660
Phone: (423) 245-6101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 130 W Ravine Rd, Kingsport, TN 37660 — (423) 224-4000
  • 265 Brookview Centre Way, Knoxville, TN 37919-4049 — (865) 328-7689

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 33226 (TN)

Record details

NPI number1821715996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2022
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kingsport