Individual provider Active NPI

Shonda Elaine Tormohlen, FNP-C

  • Family Nurse Practitioner
  • Lewisburg, TN
National Provider Identifier
1003406109
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000028633 Issued in TN
Practice address
118 2ND Ave South
Lewisburg, TN 37091
Phone
(931) 422-5029
Fax
(931) 422-5229
NPI assigned
Jan 22, 2021
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 APN0000028633 TN Primary

Addresses

Primary practice location

118 2ND Ave South
Lewisburg, TN 37091

Mailing address

118 2ND Ave South
Lewisburg, TN 37091
Phone (931) 422-5029

Other practice location 1

4594 Turkey Creek Rd
Williamsport, TN 38487-2124
Phone (404) 784-1900

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
I20250806001818 TN Practitioner - Nurse Practitioner 0941718274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000028633TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Medical Clinic LLC CurrentSince Aug 10, 2025 Accepting new patients
Celebration Family Care PLLC CurrentSince Jun 5, 2025 Accepting new patients
L;Ynnville Family Medical Clinic PastSince Aug 10, 2025 Accepting new patients

Locations

118 2nd Ave S
Lewisburg, TN 37091
Phone (931) 422-5029

529 W Commerce St
Lewisburg, TN 37091
Phone (931) 270-9729

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4
  • Direct secure messaging: shonda.tormohlen.1@3755.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1003406109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 2ND AVE SOUTH",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-422-5029",
            "fax_number": "931-422-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 2ND AVE SOUTH",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-422-5029",
            "fax_number": "931-422-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4594 Turkey Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "TN",
            "postal_code": "384872124",
            "country_code": "US",
            "telephone_number": "404-784-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORMOHLEN",
        "first_name": "SHONDA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2025-08-04",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000028633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.