Autum Dawn Shaw, MSN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000018876 Issued in TN

Practice address

2263 Sandstone Dr
Morristown, TN 37814-2593

Phone

(423) 535-4544

NPI assigned

Aug 4, 2014

Last updated

Jan 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26086/brand/1/csg/1/fhir/r4

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.

• East Tennessee Center for Orthopaedic Excellence PLLC

  • Orthopaedic Surgery Physician
  • Morristown, TN
  • NPI 1235545583
  Medicare reassignment NPD
• A&W Emg Muscle & Nerve PLLC

  • Neurology Physician
  • Knoxville, TN
  • NPI 1639826324
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1144639170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 SANDSTONE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-353-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 SANDSTONE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-535-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "AUTUM",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000018876",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "0000018876",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Meschelyn Setser, FNP
• Gregory S Sexton, D.D.S.
• Aashi Vrajesh Shah, PHARMD
• Harvena Brown Shannon
• Amy Deane Sharp, RN
• Brittany Drysdale Shelton, PHARMD, MPH
• Doris Higgins Shelton, PH.D.
• Heather Deeanna Shepard, CCMA
• Deborah Sheppard
• Ron Sheppard, OT

• Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.