Active NPI
Tamara S Shields, CFNP
- Family Nurse Practitioner
- West Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001447A
- Practice address
- 512 Sagamore Pkwy W
West Lafayette, IN 47906-1458 - Phone
- (317) 873-6438
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 225280 | OK | |
| Family Nurse Practitioner | 363LF0000X | 0003867 | CO | |
| Family Nurse Practitioner | 363LF0000X | A1680D4 | IA | |
| Family Nurse Practitioner | 363LF0000X | 21924 | AR | |
| Family Nurse Practitioner | 363LF0000X | 4704386882 | MI | |
| Family Nurse Practitioner | 363LF0000X | 224719 | LA | |
| Family Nurse Practitioner | 363LF0000X | 72115 | ID | |
| Family Nurse Practitioner | 363LF0000X | 31449 | TN | |
| Family Nurse Practitioner | 363LF0000X | 114139 | NE | |
| Family Nurse Practitioner | 363LF0000X | 49598 | WY | |
| Family Nurse Practitioner | 363LF0000X | 852004 | NV | |
| Family Nurse Practitioner | 363LF0000X | 1085417 | TX | |
| Family Nurse Practitioner | 363LF0000X | 3-002229 | AL | |
| Family Nurse Practitioner | 363LF0000X | 71001447A | IN | Primary |
| Nurse Practitioner | 363L00000X | 71001447A | IN |
Addresses
Primary practice location
512 Sagamore Pkwy W
West Lafayette, IN 47906-1458
Mailing address
10899 S State Road 43
Brookston, IN 47923-8403
Phone (866) 387-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200383320 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, NE, TN, LA, NV, TX, NC, OH, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1466 W Oak St
Zionsville, IN 46077-1800
Phone (866) 389-2727
1825 E Warm Springs Rd
Las Vegas, NV 89119-4547
Phone (866) 388-2727
1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727
39350 9 Mile Rd
Northville, MI 48167-9164
Phone (866) 389-2727
4755 W Ann Rd
North Las Vegas, NV 89031-3424
Phone (866) 389-2727
9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-002229 | AL | MD | Family Nurse Practitioner |
| 21924 | AR | MD | Family Nurse Practitioner |
| A1680D4 | IA | MD | Family Nurse Practitioner |
| 72115 | ID | MD | Family Nurse Practitioner |
| 71001447A | IN | MD | Family Nurse Practitioner |
| 224719 | LA | MD | Family Nurse Practitioner |
| 114139 | NE | MD | Family Nurse Practitioner |
| 852004 | NV | MD | Family Nurse Practitioner |
| 225280 | OK | MD | Family Nurse Practitioner |
| 1085417 | TX | MD | Family Nurse Practitioner |
| 49598 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Telehealth Services of Texas Association | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Michigan PC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of North Carolina PC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostics of Indiana, LLC | Family | Current | Accepting new patients |
| MC Medical Group of Nevada, P.C | Family | Current | Accepting new patients |
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
| Minuteclinic Diagnostic of Tennessee PC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Ohio LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Louisiana, LLC | Family | Current | Accepting new patients |
| Minuteclinic Video Virtual Care, PLLC | Family | Current | Accepting new patients |
Locations
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353
512 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 430-7872
1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438
7777 Bluebonnet Blvd
Ste 100
Baton Rouge, LA 70810
Phone (225) 235-0028
4401 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 891-7731
2103 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-5743
39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401
4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857
4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407
1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980
1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 11
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.
-
- Family Nurse Practitioner
- Zionsville, IN
- NPI 1932171634
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1730266537
-
- Family Nurse Practitioner
- Northville, MI
- NPI 1902848617
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1922564301
-
- Family Nurse Practitioner
- New Orleans, LA
- NPI 1285975482
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- Family Nurse Practitioner
- Hilliard, OH
- NPI 1699747303
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1457323164
-
- Family Nurse Practitioner
- Lincoln, NE
- NPI 1124449533
-
- Family Nurse Practitioner
- Rockville, MD
- NPI 1134191836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1568422970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10899 S STATE ROAD 43",
"city": "BROOKSTON",
"state": "IN",
"postal_code": "479238403",
"telephone_number": "866-387-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061458",
"telephone_number": "317-873-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "TAMARA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "225280",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0003867",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A1680D4",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "21924",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704386882",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "224719",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "72115",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "31449",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "114139",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "49598",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "852004",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1085417",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-002229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001447A",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001447A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200383320",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.