Active NPI
Shannon Marie Depriest, MSN, FNP-BC
- Family Nurse Practitioner
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21710
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21710 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.