Active NPI
Shelby Nicole Anderson
- Occupational Therapist
- Murfreesboro, TN
National Provider Identifier
1508484106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6557
- Practice address
- 2208 E Main St
Murfreesboro, TN 37130-5800 - Phone
- (615) 809-2632
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- No
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.
-
- Occupational Therapist
- Chattanooga, TN
- NPI 1033787411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Kids Inc | Occupational Therapist | Current | Accepting new patients |
| SK Therapy Associates, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
2208 E Main St
Murfreesboro, TN 37130
Phone (615) 809-2632
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6557 | TN | Primary |
Addresses
Primary practice location
2208 E Main St
Murfreesboro, TN 37130-5800
Mailing address
2011 Richard Jones Rd Apt P5
Nashville, TN 37215-2810
NPI Registry JSON
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1508484106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 RICHARD JONES RD APT P5",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 E MAIN ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371305800",
"telephone_number": "615-809-2632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SHELBY",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.