Individual provider Active NPI

Barbara Lynn Shimoff, RN

  • Registered Nurse
  • Franklin, TN
National Provider Identifier
1104481142
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
256630 Issued in TN
Practice address
1612 Westgate Circle
Suite 112
Franklin, TN 37064
Phone
(615) 236-8619
Fax
(629) 666-5941
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 256630 TN Primary

Addresses

Primary practice location

1612 Westgate Circle
Suite 112
Franklin, TN 37064

Mailing address

718 Thompson Lane
Suite 108-442
Nashville, TN 37204
Phone (916) 767-4515

Other identifiers 1

IdentifierTypeStateIssuer
95066258OtherCAREGISTERED NURSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
256630TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1104481142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 THOMPSON LANE",
            "address_2": "SUITE 108-442",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37204",
            "telephone_number": "916-767-4515",
            "fax_number": "916-368-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 WESTGATE CIRCLE",
            "address_2": "SUITE 112",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37064",
            "telephone_number": "615-236-8619",
            "fax_number": "629-666-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOFF",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "256630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "95066258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.