Shannon Brittany Dedmon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21453 Issued in TN

Practice address

1970 Jordan Ave NW
Cleveland, TN 37311-1900

Phone

(423) 790-7662

NPI assigned

Jul 27, 2016

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

At Home Primary Care IncGroup PAC ID 8325236953, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannondedmon@tnmhpf.allscriptsdirect.net

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.

• At Home Primary Care Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Cleveland, TN
  • NPI 1891096061
  Medicare reassignment Care Compare group NPD
• Memorial Health Partners Foundation Inc

  dba CHI Memorial Family Practice Associates - Trenton

  • Rural Health Clinic/Center
  • Trenton, GA
  • NPI 1467602482
  NPD
• Doctors Home Visits, Inc.

  dba Chattanooga Health Partners

  • Geriatric Medicine (Family Medicine) Physician
  • Chattanooga, TN
  • NPI 1215112891
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkridge Medical Center, Inc.

  dba Parkridge Medical Center

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1104874684
  Care Compare affiliation

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1396298394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4662 E CIRCLE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124101",
            "telephone_number": "423-790-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 JORDAN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111900",
            "telephone_number": "423-790-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDMON",
        "first_name": "SHANNON",
        "middle_name": "BRITTANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakita Dawston
• Dearmond and Jones DDS PC
• Eben A Dearmond Jr.
• Amanda Kelley Deaton
• Judith L Dedeker, RN
• Christina Delgman
• Angel Shana Delk
• Minna Rena Deluca, NP
• Veronica Demaria, FNP-BC
• Amanda B Denham, BEHAVIOR TECHNCIAN

• Family Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.