Thomas Bernard Shields, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6167 Issued in KY

Practice address

1030 Brookhaven Rd
Franklin, KY 42134-2745

Phone

(270) 586-1800

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Shields Family Clinic

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1871827527
  NPD (past) Authorized official

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1649240979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BROOKHAVEN RD",
            "address_2": "PO BOX 346",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421350346",
            "telephone_number": "270-586-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BROOKHAVEN RD",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342745",
            "telephone_number": "270-586-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "THOMAS",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A093798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6450320",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Cody Russell, DPT
• Jennifer Lynn Sanford, DMD
• Deborah Settle, ARNP
• Edalyn Shaw
• Shields Family Clinic
• Simpson County Schools
• Simpson Treatment, LLC
• Tonya Leann Simpson, APRN
• Kimberlee G Sliger, APRN
• Stephen Lockard Snyder, M.D.

• Family Nurse Practitioner in Franklin, KY
• Providers in Franklin, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.