Individual provider Active NPI

Shelby Vanfleet, APRN

  • Family Nurse Practitioner
  • Savannah, TN
National Provider Identifier
1063123792
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30558 Issued in TN
Practice address
1920 Pickwick St
Savannah, TN 38372-5309
Phone
(731) 925-2557
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 30558 TN Primary

Addresses

Primary practice location

1920 Pickwick St
Savannah, TN 38372-5309

Mailing address

9730 Cherry Chapel Loop
Savannah, TN 38372-6908
Phone (731) 614-9322

Other practice location 1

155 N Pleasant St
Decaturville, TN 38329-4084
Phone (731) 852-2461

Other practice location 2

301 Quinco Dr
Henderson, TN 38340-1705
Phone (731) 989-7108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30558TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1063123792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 CHERRY CHAPEL LOOP",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383726908",
            "telephone_number": "731-614-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PICKWICK ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725309",
            "telephone_number": "731-925-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Decaturville",
            "state": "TN",
            "postal_code": "383294084",
            "country_code": "US",
            "telephone_number": "731-852-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Quinco Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TN",
            "postal_code": "383401705",
            "country_code": "US",
            "telephone_number": "731-989-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANFLEET",
        "first_name": "SHELBY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.