Shivani Patel

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

124555914 Issued in TN

Practice address

178 Maple Ave
Mountain Home, TN 37684

Phone

(423) 439-2033

NPI assigned

May 6, 2026

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": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1144157918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MAPLE AVE",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MAPLE AVE",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-439-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "124555914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Tan King Overbay, MD
• Lisa Paderna, PH.D.
• Shantha Grace Pandian, MD
• Lynsey Jade Parker, PHARMD
• Sarvatit Patel, DO
• Ben W Peeples, MA
• Laura Pepper-Weiler, LSW
• Dylan William Perkins, PHARMD
• Daniel Steven Piper, D.P.M.
• Jonathan Lee Pollitte, M.D.

• Student in an Organized Health Care Education/Training Program in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.