Individual provider Active NPI

Alisha L Shoemaker, APN

  • Family Nurse Practitioner
  • Oneida, TN
National Provider Identifier
1003189309
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16521 Issued in TN
Practice address
19067 Alberta St
Oneida, TN 37841-6002
Phone
(423) 569-2754
Fax
(423) 569-2756
NPI assigned
Feb 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16521 TN Primary

Addresses

Primary practice location

19067 Alberta St
Oneida, TN 37841-6002

Mailing address

19067 Alberta St
Oneida, TN 37841-6002
Phone (423) 569-2754

Other identifiers 2

IdentifierTypeStateIssuer
1035I01695OtherTNTN MEDICARE
6080621OtherTNBCBS TN

Other names 1

  • Alisha Byrd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001581 TN Practitioner - Nurse Practitioner 6406174002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Pediatric Care Clinic LLCGroup PAC ID 3678853587, 2 clinicians

Practice addresses (Care Compare)

19067 Alberta St
Oneida, TN 37841-6002
Phone (828) 339-7251

Hospital & facility affiliations

  • Big South Fork Medical Center Hospital, Oneida, TN, CCN 441323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16521TNMDPhysical Therapist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECHAD/Endpoint/BECHAD
  • FHIR API: https://fhir-usa.unify.chbase.com/org/scottco-57160bb9

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family and Pediatric Care Clinic LLCOneida, TN, CCN 883817 Rural health clinic Corporate Director
Operational/Managerial Control (100%)
Jul 5, 2016
Jul 5, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1003189309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19067 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416002",
            "telephone_number": "423-569-2754",
            "fax_number": "423-569-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19067 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416002",
            "telephone_number": "423-569-2754",
            "fax_number": "423-569-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "ALISHA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN MEDICARE",
            "identifier": "1035I01695",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6080621",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "BYRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.