Individual provider Active NPI

Shirley Ruth Robbins, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1114251790
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000014363 Issued in TN
Practice address
5511 Kingston Pike
Knoxville, TN 37919-5025
Phone
(865) 323-4776
NPI assigned
Sep 29, 2009
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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 APN0000014363 TN Primary

Addresses

Primary practice location

5511 Kingston Pike
Knoxville, TN 37919-5025

Mailing address

2630 Gilliam Cir
Talbott, TN 37877-3116
Phone (865) 323-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000068 TN Practitioner - Nurse Practitioner 6608915319 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000014363TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Tennessee PC CurrentSince May 14, 2011 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Nov 15, 2017 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Jun 21, 2017 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jul 1, 2020 Accepting new patients
Southeastern Physician Services PC CurrentSince Jan 1, 2015 Accepting new patients
Tennessee CVS Pharmacy, L.L.C. Past Accepting new patients
Mountain Valley RX 05 Inc Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1114251790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 GILLIAM CIR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378773116",
            "telephone_number": "865-323-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195025",
            "telephone_number": "865-323-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "SHIRLEY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.