Shana T Hilson

Individual provider Active NPI Nurse Practitioner · South Pittsburg, TN

NPI 1093060436 · NPPES record last updated Sep 13, 2025

Key facts

NPI
1093060436
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APN16866 (TN)
Practice address
1045 Raulstontown Rd
South Pittsburg, TN 37380-1904
Phone
(423) 316-8704
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN16866 TN Yes

Addresses

Primary practice location

1045 Raulstontown Rd
South Pittsburg, TN 37380-1904

Mailing address

1045 Raulstontown Rd
South Pittsburg, TN 37380-1904
Phone (423) 316-8704

Other providers in South Pittsburg, TN

All providers in South Pittsburg, TN · Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.