Active NPI
Deanna N Shelton, A.P.N.
- Family Nurse Practitioner
- Olive Branch, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14942
- Practice address
- 4250 Bethel Rd
Olive Branch, MS 38654-8737 - Phone
- (662) 932-9111
- NPI assigned
- Apr 26, 2010
- Last updated
- May 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14942 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 810514 | MS |
Addresses
Primary practice location
4250 Bethel Rd
Olive Branch, MS 38654-8737
Mailing address
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14942 | TN | MD | Physical Therapist |
| 810514 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radar EMS, LLC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current | Accepting new patients | |
| Carr PLLC | Current | Accepting new patients | |
| Radar Transport LLC | Current | Accepting new patients | |
| T M Carr MD PC | Current | Accepting new patients | |
| North Internal Medicine, P. C. | Past | Accepting new patients | |
| Mid-South Ear, Nose, and Throat, P.C. | Past | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
2670 Union Avenue Ext
Ste 915
Memphis, TN 38112
Phone (901) 352-0062
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
Interoperability endpoints
- dshelton@landmarkhealth-direct.org
- https://api.platform.athenahealth.com/21348/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
dba Sound Physicians Emergency of Greater Memphis
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
MS
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1093375420
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Non-emergency Medical Transport (VAN)
- Memphis, TN
- NPI 1932891694
-
- Otolaryngology Physician
- Germantown, TN
- NPI 1689780066
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1518982008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1427375716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 BETHEL RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548737",
"telephone_number": "662-932-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 BETHEL RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548737",
"telephone_number": "662-932-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "DEANNA",
"middle_name": "N",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "14942",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "810514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.