Shelly V. Durbin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD25633 Issued in TN

Practice address

9625 Kroger Park Dr
Suite 500
Knoxville, TN 37922-5880

Phone

(865) 531-8100

Fax

(865) 539-0909

NPI assigned

Aug 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University Health System Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1174695852
  NPD
• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  NPD
• Ut Urgent Care Centers LLC

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1801391453
  NPD
• University of Tennessee

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174221337
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1447267265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440440",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440440",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR",
            "address_2": "SUITE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225880",
            "telephone_number": "865-531-8100",
            "fax_number": "865-539-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "SHELLY",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD25633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085675",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Richey Dunn, M.ED.
• Kim Phuong Thi Duong, APRN, FNP-C
• Christine Dupper, M.S. CF-SLP
• Whitney Dupree, OTD, OTR/L
• Devin Durand, PT
• Terrica Marie Durbin, RN
• Courtney Durda
• Elana Durden
• Grace Durham
• Durrett Construction

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.