Tarah Shae Shelton, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

212276 Issued in TN

Practice address

2379 Buffalo Rd
Lawrenceburg, TN 38464-4810

Phone

(931) 762-9406

Fax

(931) 766-1592

NPI assigned

Aug 19, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1164140638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 BUFFALO RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644810",
            "telephone_number": "931-762-9406",
            "fax_number": "931-766-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 BUFFALO RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644810",
            "telephone_number": "931-762-9406",
            "fax_number": "931-766-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TARAH",
        "middle_name": "SHAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "212276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seven Springs and Sports Medicine
• Seven Springs Orthopaedics, PC
• Samuel L Shackelford, DDSPC
• Jayraj C Shah, MD
• Sheldon T. Blood, D.D.S.,P.C.
• Timothy Wade Shelton, FNP-C
• Derryl Lynn Shimer
• Matthew Neal Sides
• Vernon L Sides, BSPT
• Margo R Simpson

• Community Health Registered Nurse in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.