Shelly Marie Cole, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33714 Issued in TN

Practice address

1124 New Highway 52 E
Westmoreland, TN 37186-5032

Phone

(615) 644-6473

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope Family Health ServicesGroup PAC ID 1658326194, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hope Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Westmoreland, TN
  • NPI 1942337183

  TN

  Medicare reassignment Care Compare group NPD
• Hope Family Health Services

  • Community/Retail Pharmacy
  • Westmoreland, TN
  • NPI 1154775872
  Care Compare group

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1609564673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 EPPERSON SPRINGS RD",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371862727",
            "telephone_number": "252-339-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 NEW HIGHWAY 52 E",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371865032",
            "telephone_number": "615-644-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Boileau
• Brown Pharmacy, LLC
• Brian Michael Carr, OTR
• Julie Carol Carver, M.S., CCC-SLP, BCBA
• Deann Lynn Christian, LPC/MHSP
• Richard C Cox, PHARMD
• Lindsay Custer
• Kevin Moss Denny
• Bethany J Diolola, MHNP
• Jennifer George Dittes, PA-C

• All providers in Westmoreland, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.

Verify at the official NPI Registry.