Individual provider Active NPI

Shannon R Linginfelter, MSN, FNP-BC

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1386675569
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000008104 Issued in TN
Practice address
Cedar Creek Pediatric & Adolescent Medicine, PC
616 Smithview Drive
Maryville, TN 37803-6100
Phone
(865) 379-2277
Fax
(865) 738-0087
NPI assigned
Jul 5, 2006
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 APN0000008104 TN Primary

Addresses

Primary practice location

Cedar Creek Pediatric & Adolescent Medicine, PC
616 Smithview Drive
Maryville, TN 37803-6100

Mailing address

616 Smithview Dr
Maryville, TN 37803-6100
Phone (865) 379-2277

Other identifiers 4

IdentifierTypeStateIssuer
APN000008104OtherTNADVANCE PRACTICE LICENSE
RN 0000129005OtherTNRN LICENSE
TN103OtherTNJOHN DEERE ID NUMBER
2678OtherTNCERTIFICATE OF FITNESS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APN0000008104TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Creek Pediatric & Adolescent Medicine, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCFIAD/Endpoint/HCFIAD

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1386675569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-379-2277",
            "fax_number": "888-559-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC",
            "address_2": "616 SMITHVIEW DRIVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-379-2277",
            "fax_number": "865-738-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGINFELTER",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000008104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE LICENSE",
            "identifier": "APN000008104",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN 0000129005",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE ID NUMBER",
            "identifier": "TN103",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF FITNESS",
            "identifier": "2678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.