Shenandoah Kelly Hobbs, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30081 Issued in TN

Practice address

5616 Brainerd Rd Ste 108
Chattanooga, TN 37411-5377

Phone

(423) 803-1379

Fax

(855) 699-6867

NPI assigned

Oct 18, 2021

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 names 1

• Shenandoah Kelly Dorman Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shenandoah.hobbs.1@18728.direct.athenahealth.com

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.

• Partners in Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chattanooga, TN
  • NPI 1780030445
  Medicare reassignment NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1528721453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD STE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115377",
            "telephone_number": "423-803-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD STE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115377",
            "telephone_number": "423-803-1379",
            "fax_number": "855-699-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "SHENANDOAH",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-03-17",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENANDOAH",
            "last_name": "DORMAN",
            "middle_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thuan-Vu Ho, DMD
• Carolyn K. Hoagland, OT
• James W Hoback Jr., MD
• Ashlee Hobbs, CRNP
• Rachael Elizabeth Hobbs
• Tiffany Allen Hobbs, NP-C
• Donna K Hobgood, MD
• Jonathan Adam Hodge, DO
• Lynn Miller Hodge, LCSW
• Neeley Hodge

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.

Verify at the official NPI Registry.