Healthcare Provider Details

I. General information

NPI: 1730550054
Provider Name (Legal Business Name): ADINA MARIE SIPPEL CNM, MS, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADINA HOEHN

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 SPRING CREEK RD
EAST RIDGE TN
37412-3913
US

IV. Provider business mailing address

1101 SPRING CREEK RD
EAST RIDGE TN
37412-3913
US

V. Phone/Fax

Practice location:
  • Phone: 423-553-5999
  • Fax: 423-541-6579
Mailing address:
  • Phone: 423-553-5999
  • Fax: 423-541-6579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number38928
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP129319
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: