Addison Selby

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0000101651 Issued in TN

Practice address

135 Walker St
Sparta, TN 38583-1725

Phone

(931) 836-2201

NPI assigned

Jul 1, 2025

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1619866993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WALKER ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831725",
            "telephone_number": "931-836-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WALKER ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831725",
            "telephone_number": "931-836-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "ADDISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "0000101651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Thomas Highlands Hospital, LLC (Ascension Saint Thomas Highlands)
• Saint Thomas River Park Hospital, LLC (AMG Saint Thomas Sparta Primary Care)
• R. Craig Saunders, M.D.
• Linda Savage, PT
• Elizabeth Rose Scott, FNP-C
• Shannon Franklin Shelley, O.D.
• Silver Connections, LLC
• Catherine Brown Simpson, PHARMD
• Oscar Dale Sims
• Kayla Danielle Smith, PHARM. D.

• Licensed Practical Nurse in Sparta, TN
• Providers in Sparta, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.