Individual provider Active NPI

Shane Ashley Hayes, D.O.M.,L.AC

  • Acupuncturist
  • Nashville, TN
National Provider Identifier
1619550704
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
TN432 Issued in TN
Practice address
108 Harding PL Ste 202
Nashville, TN 37205-3704
Phone
(615) 622-4566
Fax
(615) 622-4569
NPI assigned
May 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X TN432 TN Primary

Addresses

Primary practice location

108 Harding PL Ste 202
Nashville, TN 37205-3704

Mailing address

108 Harding PL Ste 202
Nashville, TN 37205-3704
Phone (615) 622-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TN432TNMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1619550704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HARDING PL STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053704",
            "telephone_number": "615-622-4566",
            "fax_number": "615-622-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HARDING PL STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053704",
            "telephone_number": "615-622-4566",
            "fax_number": "615-622-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SHANE",
        "middle_name": "ASHLEY",
        "credential": "D.O.M.,L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-06-04",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "TN432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.