Shellie Rose Butler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

34156 Issued in TN

Practice address

779 Highway 63 Ste 1
Cumberland Gap, TN 37724-4116

Phone

(423) 919-9886

Fax

(423) 919-9887

NPI assigned

Jul 13, 2023

Last updated

May 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Cardinal Health PLLCGroup PAC ID 3375011968, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Cardinal Health PLLC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1265384077
  Medicare reassignment Care Compare group
• Kentucky Friendly Care Center, Inc.

  • Rural Health Clinic/Center
  • Middlesboro, KY
  • NPI 1467939066
  Medicare reassignment NPD
• Advanced Family Healthcare

  • Family Medicine Physician
  • Cumberland Gap, TN
  • NPI 1518551688
  NPD

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1033898416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOUNTAIN LANE",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "37825",
            "telephone_number": "865-382-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 HIGHWAY 63 STE 1",
            "city": "CUMBERLAND GAP",
            "state": "TN",
            "postal_code": "377244116",
            "telephone_number": "423-919-9886",
            "fax_number": "423-919-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SHELLIE",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34156",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "34156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Family Healthcare
• Jessica R Chittum, FNP-BC
• Kaylee Elizabeth Hogard, LAT, ATC
• J and J Incorporated
• Catherine Jenkins, RN
• Chase Alexander Johnson

• Family Nurse Practitioner in Cumberland Gap, TN
• Providers in Cumberland Gap, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.