Lindsay Rebecca Shackelford, LPN
Individual provider Active NPI Licensed Practical Nurse · Oliver Springs, TN
NPI 1497599989 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1497599989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 83974 (TN)
- Practice address
- 810 E Tri County Blvd
Oliver Springs, TN 37840-1828 - Phone
- (865) 466-6522
- NPI assigned
- Jun 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83974 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 83974 | TN | Yes |
Addresses
Primary practice location
810 E Tri County Blvd
Oliver Springs, TN 37840-1828
Mailing address
810 E Tri County Blvd
Oliver Springs, TN 37840-1828
Phone (865) 466-6522
Other providers in Oliver Springs, TN
- Jolee Mae Range
- Recovery House of East Tennessee
- Jason Benjamin Robinson
- Haley Ann Russell
- Toby H Russell
- Daniel David Smith
- David P. Smith
- Stephen Nevin Smith
- Charles Loyd Stallings
- Donna Stanton
All providers in Oliver Springs, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.