Individual provider Active NPI

Amy Leigh Shelton, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1639832645
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000030300 Issued in TN
Practice address
438 E Vann Rd
Greeneville, TN 37743-7202
Phone
(423) 636-0491
NPI assigned
Oct 17, 2021
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000030300 TN Primary

Addresses

Primary practice location

438 E Vann Rd
Greeneville, TN 37743-7202

Mailing address

438 E Vann Rd Ste 9
Greeneville, TN 37743-7202
Phone (423) 636-0491

Other practice location 1

525 N State Of Franklin Rd Ste 9
Johnson City, TN 37604-8213
Phone (423) 302-3480

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greeneville

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
I20220110002329 TN Practitioner - Nurse Practitioner 0749672418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Takoma Regional Hospital IncGroup PAC ID 8729189295, 28 clinicians

Practice addresses (Care Compare)

438 E Vann Rd
Suite 202
Greeneville, TN 37743-7202
Phone (423) 302-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000030300TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Multi-Specialty Current Accepting new patients
Takoma Regional Hospital, Inc CurrentSince Dec 5, 2021 Accepting new patients
Wellmont Medical Associates, Inc. Multi-Specialty CurrentSince Sep 7, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty CurrentSince Dec 5, 2021 Accepting new patients
Takoma Regional Hospital Inc Multi-Specialty CurrentSince Dec 5, 2021 Accepting new patients
Wellmont Medical Associates Inc Multi-Specialty CurrentSince Sep 7, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty CurrentSince Dec 5, 2021 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

438 E Vann Rd
Greeneville, TN 37743
Phone (423) 278-1703

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

438 E Vann Rd
Ste 202
Greeneville, TN 37743
Phone (423) 278-1703

438 E Vann Rd
Ste 9
Greeneville, TN 37743

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

525 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 302-3480

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1639832645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E VANN RD STE 9",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-636-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E VANN RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-636-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N State Of Franklin Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376048213",
            "country_code": "US",
            "telephone_number": "423-302-3480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000030300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greeneville",
            "affiliation": "N",
            "address_1": "438 E Vann Rd",
            "city": "Greeneville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377437202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.