Individual provider Active NPI

Shelby Lafon

  • Family Nurse Practitioner
  • Linton, IN
National Provider Identifier
1346000486
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015049A Issued in IN
Practice address
1569 A St NE
Linton, IN 47441-1607
Phone
(812) 846-3380
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015049A IN Primary

Addresses

Primary practice location

1569 A St NE
Linton, IN 47441-1607

Mailing address

PO Box 306417
Nashville, TN 37230-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240405003704 IN Practitioner - Nurse Practitioner 4981042140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1569 A St NE
Linton, IN 47441-1607
Phone (812) 846-3380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015049AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Apr 19, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2024 Accepting new patients
FC Indiana, LLC CurrentSince Apr 19, 2024 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.