Individual provider Active NPI

Shakila McDaniel

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1396617809
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27222 Issued in TN
Practice address
2137 Houston BND
Lebanon, TN 37087-2325
Phone
(615) 916-1696
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27222 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27222 TN Primary

Addresses

Primary practice location

2137 Houston BND
Lebanon, TN 37087-2325

Mailing address

2137 Houston BND
Lebanon, TN 37087-2325
Phone (615) 916-1696

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
I20251205001320 TN Practitioner - Nurse Practitioner 8426541608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendrix Medical Associates of Tennessee PCGroup PAC ID 4981103140, 8 clinicians

Practice addresses (Care Compare)

4347 Lebanon Pike
Hermitage, TN 37076-1243
Phone (213) 737-3301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27222TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mendrix Medical Associates of Tennessee PC Psychiatric/Mental Health CurrentSince Oct 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

8601 Lincoln Blvd
Ste 180567
Los Angeles, CA 90045
Phone (213) 347-9010

1287 W Main St
Franklin, TN 37064
Phone (213) 737-3301

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1396617809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 HOUSTON BND",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872325",
            "telephone_number": "615-916-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 HOUSTON BND",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872325",
            "telephone_number": "615-916-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "SHAKILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.