Individual provider Active NPI

Shannon Marie Depriest, MSN, FNP-BC

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1598212854
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21710 Issued in TN
Practice address
1639 Medical Center Pkwy Ste 300
Murfreesboro, TN 37129-2593
Phone
(615) 890-5484
Fax
(615) 890-7924
NPI assigned
Sep 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 21710 TN Primary

Addresses

Primary practice location

1639 Medical Center Pkwy Ste 300
Murfreesboro, TN 37129-2593

Mailing address

408 42ND Ave N Ste 300
Nashville, TN 37209-3669
Phone (615) 354-2460

Other names 1

  • Shannon Marie Puckett Former name

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
I20180919003161 TN Practitioner - Nurse Practitioner 7618228347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 0840282000, 40 clinicians

Practice addresses (Care Compare)

408 42ND Ave N
Suite 300
Nashville, TN 37209-3669
Phone (615) 356-4111

854 W James Campbell Blvd
Suite 101a
Columbia, TN 38401-4671
Phone (931) 388-3209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21710TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Family CurrentSince Dec 4, 2023 Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 101A
Columbia, TN 38401
Phone (931) 388-3209

201 Rosa Helm Way
Franklin, TN 37067
Phone (615) 721-5141

1639 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129
Phone (615) 890-5484

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1598212854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 42ND AVE N STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093669",
            "telephone_number": "615-354-2460",
            "fax_number": "615-661-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 MEDICAL CENTER PKWY STE 300",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292593",
            "telephone_number": "615-890-5484",
            "fax_number": "615-890-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIEST",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "PUCKETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.