Individual provider Active NPI

Shawn Christopher Malugin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1376291518
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30303 Issued in TN
Practice address
1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone
(615) 378-7653
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30303 TN Primary

Addresses

Primary practice location

1009 N Thompson LN
Murfreesboro, TN 37129-4351

Mailing address

806 Greenbrier Dr
Murfreesboro, TN 37130-3172
Phone (615) 378-7653

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
I20220408001510 TN Practitioner - Nurse Practitioner 2769878214 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30303TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Foundation Behavioral Health Clinic Psychiatric/Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 11, 2024 Accepting new patients
Trustpoint Hospital LLC CurrentSince Mar 14, 2022 Accepting new patients
Trustpoint Hospital LLC Psychiatric/Mental Health CurrentSince Mar 14, 2022 Accepting new patients

Locations

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

542 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 203-5024

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

135 W Jackson Ave
Ripley, TN 38063
Phone (901) 403-0480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25874/brand/1/csg/1/fhir/r4

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1376291518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREENBRIER DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303172",
            "telephone_number": "615-378-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294351",
            "telephone_number": "615-378-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALUGIN",
        "first_name": "SHAWN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "30303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.