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

Sana Pathan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205447794

Sana Pathan is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2020, 6 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

2204 Pavilion Dr Ste 107
Kingsport, TN 37660-4651
Phone: (423) 343-1442
Fax: (423) 343-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 525 N State Of Franklin Rd Ste 9, Johnson City, TN 37604-8213 — (423) 302-3480
  • 108 E Main St Ste 218, Kingsport, TN 37660-4257 — (423) 481-9147

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 27887 (TN)

Record details

NPI number1205447794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport