Individual provider Active NPI

Shawn A Billingsley

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1508530734
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30019 Issued in TN
Practice address
701 County Services Dr
Cookeville, TN 38501-4338
Phone
(931) 528-2531
Fax
(931) 526-7451
NPI assigned
Aug 2, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

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
I20210927002202 TN Practitioner - Nurse Practitioner 2860899382 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Apr 21, 2025 Accepting new patients
Advanced Health Care LLC Family CurrentSince Jun 1, 2022 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince Apr 21, 2025 Accepting new patients

Locations

1100 England Dr
Cookeville, TN 38501
Phone (931) 528-7531

701 County Services Dr
Cookeville, TN 38501
Phone (931) 528-2531

427 N Willow Ave
Ste C
Cookeville, TN 38501
Phone (931) 559-5959

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30019 TN Primary

Addresses

Primary practice location

701 County Services Dr
Cookeville, TN 38501-4338

Mailing address

1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 520-4466

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1508530734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-520-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COUNTY SERVICES DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014338",
            "telephone_number": "931-528-2531",
            "fax_number": "931-526-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "SHAWN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.