Keiko J Shigeno, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN7893 Issued in TN

Practice address

5148A Murfreesboro Rd
La Vergne, TN 37086-2712

Phone

(615) 641-2273

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, ME, NY, VT, FL, CA6 enrollments

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 6

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kei.shigeno.1@24989.direct.athenahealth.com

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.

• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  TN, VT

  Medicare reassignment Care Compare group
• Retail Health Clinics, LLC

  • Health Service Clinic/Center
  • Nashville, TN
  • NPI 1447772058
  Medicare reassignment NPD
• Mobile Medical Care PC

  dba Dcgo Medical

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1376297119
  Medicare reassignment NPD
• Welltrackone Corporation

  • Specialist
  • Hilton Head Island, SC
  • NPI 1770367468

  TN

  Medicare reassignment
• Openloop Healthcare Partners New Jersey PC

  • General Practice Physician
  • Jersey City, NJ
  • NPI 1588335152
  NPD
• Albany ENT & Allergy Services PC

  • Otolaryngology Physician
  • Albany, NY
  • NPI 1205838729
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Newburyport, MA
  • NPI 1316428824
  NPD (past)
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331
  NPD (past)
• Openloop Healthcare Partners Wisconsin, SC

  • General Practice Physician
  • Madison, WI
  • NPI 1083371629
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043325558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 STONE HALL BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762089",
            "telephone_number": "615-403-4831",
            "fax_number": "615-391-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148A MURFREESBORO RD",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370862712",
            "telephone_number": "615-641-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Tulip Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370761750",
            "country_code": "US",
            "telephone_number": "615-391-1680",
            "fax_number": "615-391-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3507 Charlotte Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372093936",
            "country_code": "US",
            "telephone_number": "615-488-7614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3881 Stewarts Ln",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372183302",
            "country_code": "US",
            "telephone_number": "615-741-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dobson Way",
            "address_purpose": "LOCATION",
            "city": "Merrimack",
            "state": "NH",
            "postal_code": "030544340",
            "country_code": "US",
            "telephone_number": "603-471-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIGENO",
        "first_name": "KEIKO",
        "middle_name": "J",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rutherford County Medical Associates, LLC (Jackson Square Family Healthcare)
• Nizar Sakhiani
• Niyonkuru Samweli
• Kenneth Charles Schellhammer Jr., LMT
• Anisa Shenouda, PHARMD
• Jamie L Short, M.S., BCBA
• Shristi Shrestha, MD
• Lucy Burgin Sloan, DENTIST
• Smartmed LLC
• Ashley Southerlan, DPT

• Family Nurse Practitioner in La Vergne, TN
• Providers in La Vergne, 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 Mar 7, 2023; 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.