Emma Mercedes Shupp, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26778 Issued in TN

Practice address

1630 NW Broad St Ste 100
Murfreesboro, TN 37129-4435

Phone

(615) 431-8431

Fax

(615) 431-8531

NPI assigned

Jan 7, 2013

Last updated

Oct 21, 2024By the provider in NPPES

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

Other names 1

• Blondy Shupp Former name

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Livewell Family Medicine

  • Primary Care Clinic/Center
  • Murfreesboro, TN
  • NPI 1740017318
  Medicare reassignment NPD Authorized official
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Winchester With Ascension Saint Thomas

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment NPD
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1225375538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 NW BROAD ST STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294435",
            "telephone_number": "615-431-8431",
            "fax_number": "615-431-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 NW BROAD ST STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294435",
            "telephone_number": "615-431-8431",
            "fax_number": "615-431-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPP",
        "first_name": "EMMA",
        "middle_name": "MERCEDES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLONDY",
            "last_name": "SHUPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reese Alexander Shivers, MS, ATC, LAT
• Favian S Short Chunn
• Margaret Showalter, APN
• Shrinkty Medical Services, LLC (Shrinkty)
• Karen Regina Shubert, R.N.
• Sie Investment Group LLC (Three Rivers Family Dentistry)
• Leslie Erin Siegfried, DDS
• Amber Lynn Sifuentes, DMD
• Vanessa L Sikora
• Michael Ian Silberman, DO

• Family Nurse Practitioner in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.