Individual provider Active NPI

Shannon Slate, PHARMD

  • Nutrition Support Pharmacist
  • Nashville, TN
National Provider Identifier
1285255687
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
13212 Issued in TN
Practice address
217 W Maplewood LN
Nashville, TN 37207-2981
Phone
(615) 277-5900
Fax
(615) 367-1808
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X RPH021682 GA
Nutrition Support Pharmacist 1835N1003X 13212 TN Primary

Addresses

Primary practice location

217 W Maplewood LN
Nashville, TN 37207-2981

Mailing address

137 Devonshire TRL
Hendersonville, TN 37075-5810
Phone (615) 822-1123

Other names 1

  • Dr. Shannon Daniell Former name

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH021682GAMDNutrition Support Pharmacist
13212TNMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
IV Solutions, Inc. CurrentSince Jul 31, 2022 Accepting new patients
I V Solutions, Inc. PastSince May 3, 2020 Accepting new patients

Locations

217 W Maplewood Ln
Nashville, TN 37207
Phone (615) 277-5900

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.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1285255687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 DEVONSHIRE TRL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370755810",
            "telephone_number": "615-822-1123",
            "fax_number": "615-367-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAPLEWOOD LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072981",
            "telephone_number": "615-277-5900",
            "fax_number": "615-367-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATE",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "GA",
            "license": "RPH021682",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "TN",
            "license": "13212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DANIELL",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.