Individual provider Active NPI

Javina Shenell Driver, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1295043693
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15263 Issued in TN
Practice address
2645 Appling Rd Ste 103
Memphis, TN 38133-5088
Phone
(901) 501-6168
Fax
(901) 590-3552
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000172856 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15263 TN Primary

Addresses

Primary practice location

2645 Appling Rd Ste 103
Memphis, TN 38133-5088

Mailing address

1748 Mill Farm Dr
Cordova, TN 38016-6199
Phone (615) 430-8856

Other names 1

  • Miss Javina Shenell Smith Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110329000577 TN Practitioner - Nurse Practitioner 0941483929 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000172856TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 10, 2017 Accepting new patients
Okanogan Behavioral Healthcare CurrentSince Aug 10, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 10, 2017 Accepting new patients
Alliance Healthcare Services CurrentSince Nov 6, 2013 Accepting new patients
Alliance Healthcare Services CurrentSince Nov 6, 2013 Accepting new patients
Jim Pang MD PLLC CurrentSince Feb 26, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 5, 2025 Accepting new patients
Forefront Telecare Inc Past Accepting new patients
Vanderbilt University PastSince Feb 25, 2024 Accepting new patients

Locations

65 Germantown Ct
Ste 402
Cordova, TN 38018
Phone (901) 752-4900

8000 Centerview Pkwy
Ste 301
Cordova, TN 38018
Phone (901) 752-4900

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1007 Koala Dr
Omak, WA 98841
Phone (509) 826-8409

Organizations & group practices 9

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1295043693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 MILL FARM DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166199",
            "telephone_number": "615-430-8856",
            "fax_number": "901-590-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 APPLING RD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335088",
            "telephone_number": "901-501-6168",
            "fax_number": "901-590-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "JAVINA",
        "middle_name": "SHENELL",
        "name_prefix": "Mrs.",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000172856",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVINA",
            "last_name": "SMITH",
            "middle_name": "SHENELL",
            "prefix": "MISS",
            "credential": "RN, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.