SHD Clinical Services

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SHD CLINICAL SERVICES

Practice address

4295 Childs Dr
Memphis, TN 38116-6909

Phone

(901) 483-5791

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Hines-Dowell, DNP, FNP-BCNPI 1376565515

Title

Ceo/Owner

Phone

(901) 483-7268

Specialties & licenses 6

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Ja'Net Hines-Dowell, DNP, APNG, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1376565515
  NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1265060420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 CHANDLER DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 CHILDS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166909",
            "telephone_number": "901-483-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHD CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "HINES-DOWELL",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "901-483-7268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341212",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Shaw, LCSW
• Shawannah Brown Elder Care
• Shawannah Brown Elder Care
• Eric Christopher Shawkey, MD
• Mounir A Shazly, MD
• Shea Center for Ears, Hearing and Balance Inc.
• Shea Clinic
• Shea Clinic
• Shea Hearing Aid Center
• Jessica Leigh Shea, LCSW

• Community Health Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Community Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.