Shawnta Poole-Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20001 Issued in TN

Practice address

3530 Hickory Hill Rd
Memphis, TN 38115-3840

Phone

(901) 881-6686

NPI assigned

Jul 29, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

85.88 of 100Reported as group

Quality

71.04

Promoting interoperability

100

Improvement activities

40

Cost

81.88

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: shawnta.poolejohnson@krogerhealth.eclinicaldirectplus.com

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1285307793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7549 STARFIRE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HICKORY HILL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153840",
            "telephone_number": "901-881-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE-JOHNSON",
        "first_name": "SHAWNTA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candis Nicole Pollard
• Stuart M Polly, MD
• Isaac Jonathan Pomeraniec, MD, MBA
• Ally Ponder, PHARMD
• Nancy Pont Briant
• Daniel Poor
• Madison Poovey, DC
• Barbara Aquadro Pope, APRN, BC
• Lucille Fletcher Pope, RD
• Ronald V Pope, CMSW

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, 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 Jul 29, 2021; 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.