Active NPI
Mira Shah
- Pediatric Nurse Practitioner
- Nashville, TN
National Provider Identifier
1629964929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 202530586
- Practice address
- 2201 W End Ave
Nashville, TN 37235-0001 - Phone
- (615) 322-7311
- NPI assigned
- Jun 16, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 202530586 | CA | Primary |
Addresses
Primary practice location
2201 W End Ave
Nashville, TN 37235-0001
Mailing address
2201 W End Ave
Nashville, TN 37235-0001
Phone (615) 322-7311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202530586 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1629964929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 W END AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372350001",
"telephone_number": "615-322-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W END AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372350001",
"telephone_number": "615-322-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MIRA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-16",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "202530586",
"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 Nov 26, 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.