Shannon M Heard, N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

12056 Issued in TN

Practice address

181 Bre Ave Ste C
Pulaski, TN 38478-2944

Phone

(931) 363-3086

Fax

(931) 363-7928

NPI assigned

Dec 13, 2006

Last updated

Jul 1, 2020By the provider in NPPES

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

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Hillside LLCGroup PAC ID 9436240017, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.heard.1@19363.direct.athenahealth.com
• Direct secure messaging: sxs6393@yourcarecommunity.org

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.

• Amg-Hillside LLC

  dba Giles County Orthopaedic and Joint Center

  • Orthopaedic Surgery Physician
  • Pulaski, TN
  • NPI 1710105499
  Medicare reassignment Care Compare group NPD
• Amg-Crockett, LLC

  dba Advanced Neurology Associates

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732
  Medicare reassignment NPD
• Amg-Crockett, LLC

  dba Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD
• Amg-Hillside LLC

  • Internal Medicine Physician
  • Pulaski, TN
  • NPI 1053734186
  NPD
• Amg-Hillside LLC

  dba Southern Tennessee Primary Care Lynnville

  • Rural Health Clinic/Center
  • Lynnville, TN
  • NPI 1407688369
  NPD
• Amg Hillside LLC

  • Infectious Disease Physician
  • Pulaski, TN
  • NPI 1891860797
  NPD (past)
• Amg-Hillside LLC

  dba First Choice Health - Pulaski

  • Rural Health Clinic/Center
  • Pulaski, TN
  • NPI 1568190551
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Rapidcare LLC

  • Urgent Care Clinic/Center
  • Lawrenceburg, TN
  • NPI 1851464796
  NPD (past)
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hillside Hospital LLC

  dba Southern Tennessee Regional Health System Pulaski

  • Rural Acute Care Hospital
  • Pulaski, TN
  • NPI 1841388519
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1669533550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BRE AVE STE C",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782944",
            "telephone_number": "931-363-3086",
            "fax_number": "931-363-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BRE AVE STE C",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782944",
            "telephone_number": "931-363-3086",
            "fax_number": "931-363-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 North Locust Ave.",
            "address_2": "1st Floor Suite D",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "38464",
            "country_code": "US",
            "telephone_number": "931-766-7056",
            "fax_number": "931-766-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARD",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "12056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725122",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642760",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4125016",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Hamrick, PMHNP
• Charles Douglas Haney, M.D.
• Melody Hatfield, APN
• Bethany M Hawk
• Louise A Hawkins, NP
• Macy Grace Helm
• Joseph E Hemmen Jr., CRNA
• Ann D Henry
• Jana Henson
• Daisy Hernandez

• Acute Care Nurse Practitioner in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.