Individual provider Active NPI

Adil Shaban

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1629536263
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000221959 Issued in TN
Practice address
229 Castlewood Dr Ste F
Murfreesboro, TN 37129-5168
Phone
(615) 767-1042
NPI assigned
Mar 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 288331 GA
Registered Nurse 163W00000X RN0000221959 TN
Family Nurse Practitioner 363LF0000X 0000221959 TN Primary

Addresses

Primary practice location

229 Castlewood Dr Ste F
Murfreesboro, TN 37129-5168

Mailing address

229 Castlewood Dr Ste F
Murfreesboro, TN 37129-5168
Phone (615) 767-1042

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
I20220624001258 TN Order and Referring Only - Nurse Practitioner 4183003957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN0000221959TNMDRegistered Nurse
288331GAMDFamily Nurse Practitioner
0000221959TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1629536263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CASTLEWOOD DR STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295168",
            "telephone_number": "615-767-1042",
            "fax_number": "949-738-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CASTLEWOOD DR STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295168",
            "telephone_number": "615-767-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAN",
        "first_name": "ADIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-02",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "288331",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000221959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000221959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.