Shelby Lafon
Individual provider Active NPI Family Nurse Practitioner · Linton, IN
NPI 1346000486 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1346000486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71015049A (IN)
- Practice address
- 1569 A St NE
Linton, IN 47441-1607 - Phone
- (812) 846-3380
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
1569 A St NE
Linton, IN 47441-1607
Phone (812) 846-3380
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240405003704 | IN | Practitioner - Nurse Practitioner | 4981042140 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71015049A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| FC Indiana, LLC | Current |
Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
1569 A St NE
Linton, IN 47441
Phone (812) 846-3380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015049A | IN | Yes |
Addresses
Primary practice location
1569 A St NE
Linton, IN 47441-1607
Mailing address
PO Box 306417
Nashville, TN 37230-6417
NPI Registry JSON
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1346000486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306417",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 A ST NE",
"city": "LINTON",
"state": "IN",
"postal_code": "474411607",
"telephone_number": "812-846-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFON",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015049A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linton, IN
- Steven William Kellett
- Minsun Kim
- Kirkling Chiropractic Center
- David D. Kirkling
- Terri S. Klingelhoefer
- Dane Michael Lee
- Linton Chiropractic Clinic
- Linton Family Pharmacy Inc
- Linton Recovery LLC
- Linton Stockton School Corporation
All providers in Linton, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.