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

Sallie H Lively, NP

Individual provider Family Nurse Practitioner · NPI 1063781714

Sallie H Lively, NP is a Nurse Practitioner in Kingsport, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2011, 15 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee and Virginia.

Years since qualifying
15
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

117 W Sevier Ave Ste 100
Kingsport, TN 37660-3799
Phone: (423) 224-3300
Fax: (423) 378-5324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 16259 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024169711 (VA)

Record details

NPI number1063781714
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 27, 2011
Last updated in NPPESApril 20, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Kingsport