Shana Ingle

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

L000000017073 Issued in TN

Practice address

1550 Beckwith Rd
Mount Juliet, TN 37122-5104

Phone

(615) 582-4595

Fax

(615) 447-5981

NPI assigned

Nov 16, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1073987921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BECKWITH RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225104",
            "telephone_number": "615-582-4595",
            "fax_number": "615-447-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BECKWITH RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225104",
            "telephone_number": "615-582-4595",
            "fax_number": "615-447-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "SHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "L000000017073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Houser Hussein, MS, RDN, LDN
• Brianna Hutchinson, MS
• Morgan Hutson
• Ginikachukwu Biko Ikwuezunma, MD
• Independent Physical Therapy
• Shayla Ingram
• Intune Chiropractic Clinic, Inc.
• Isd Renal, Inc (Mt. Juliet Dialysis)
• Remonda Ishak
• Farah Adel Ismail, PHARMD

• Mental Illness Community Based Residential Treatment Facility in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.