Shaily Patel, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30754 Issued in TN

Practice address

2927 Watauga Rd Unit 16
Johnson City, TN 37601-3890

Phone

(865) 548-2630

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1639838428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 WATAUGA RD UNIT 16",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 WATAUGA RD UNIT 16",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013890",
            "telephone_number": "865-548-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAILY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2927 Watauga Rd Unit 16",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376013890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mihir Patel, MD
• Neelkumar Patel, MD
• Nevi Patel
• Nilam Tulsidas Patel, D.D.S.
• Parasbhai Dashrathbhai Patel, MD
• Shivali M Patel, M.D.
• Tulsidas Patel, B.D.S.
• Yashvi Pradeepkumar Patel
• Barbara Jane Paterson, DO
• Jessica L Patrone, PHARM.D.

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.