Active NPI
Shanne Jones Foxx, NP
- Adult Health Nurse Practitioner
- Statesville, NC
National Provider Identifier
1649895673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5013284
- Practice address
- 2001 Van Haven Dr
Statesville, NC 28625-4342 - Phone
- (980) 866-8604
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5013284 | NC | Primary |
| Administrator Registered Nurse | 163WA2000X | 241900 | NC |
Addresses
Primary practice location
2001 Van Haven Dr
Statesville, NC 28625-4342
Mailing address
8920 Lawyers Rd Unit 23694
Mint Hill, NC 28227-8886
Phone (980) 263-7550
Other practice location 1
11780 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3007
Phone (980) 866-8604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Optimed Hospitalists | Past | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NC, Nurse Practitioner
-
- Hospitalist Physician
- Statesville, NC
- NPI 1235449125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1649895673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8920 LAWYERS RD UNIT 23694",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282278886",
"telephone_number": "980-263-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAN HAVEN DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254342",
"telephone_number": "980-866-8604"
}
],
"practiceLocations": [
{
"address_1": "11780 US Highway 1 Ste N107",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334083007",
"country_code": "US",
"telephone_number": "980-866-8604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOXX",
"first_name": "SHANNE",
"middle_name": "JONES",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5013284",
"primary": true
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NC",
"license": "241900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.