Active NPI
Kathryn Dodd Shumate, M.D.
- Pediatrics Physician
- Hixson, TN
National Provider Identifier
1194915942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD43320
- Practice address
- 4519 Hixson Pike
Hixson, TN 37343-5035 - Phone
- (423) 877-4591
- Fax
- (423) 877-4225
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD43320 | TN | Primary |
Addresses
Primary practice location
4519 Hixson Pike
Hixson, TN 37343-5035
Mailing address
PO Box 633819
Cincinnati, OH 45263-3819
Phone (865) 292-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | TN | BCBS OF TENNESSEE |
| PENDING | Medicaid | TN | |
| PENDING | Medicaid | GA | |
| PENDING | Medicaid | AL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD43320 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Past | Accepting new patients |
| Beacon Health Alliance PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1194915942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633819",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452633819",
"telephone_number": "865-292-3000",
"fax_number": "865-292-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 HIXSON PIKE",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435035",
"telephone_number": "423-877-4591",
"fax_number": "423-877-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMATE",
"first_name": "KATHRYN",
"middle_name": "DODD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD43320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "PENDING",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.