Angela Rebecca Shears, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000018122 Issued in TN

Practice address

162 Sharp and Perkins Rd
Jacksboro, TN 37757-2507

Phone

(423) 562-8351

NPI assigned

Apr 22, 2014

Last updated

Apr 26, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398470400000",
    "number": "1285054809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377570418",
            "telephone_number": "423-562-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 SHARP AND PERKINS RD",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572507",
            "telephone_number": "423-562-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARS",
        "first_name": "ANGELA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "APN0000018122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April D Rodriguez, FNP
• Linda Ross, LPN
• Samantha Ross
• Amy Schoenthaler, FNP-C
• Services, Inc
• Monica Grace Shoopman, MSN, FNP-C.
• John Wesley Smiddy, NP
• Smokey Mountain Medical LLC
• State of Tennessee (Campbell County Health Department)
• Bradley Sufficool, DPT

• Family Nurse Practitioner in Jacksboro, TN
• Providers in Jacksboro, 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 Apr 26, 2014; 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.