Individual provider Active NPI

Ashley Shaw, NP

  • Family Nurse Practitioner
  • Savannah, TN
National Provider Identifier
1669917522
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22145 Issued in TN
Practice address
765 Florence Rd
Savannah, TN 38372-3451
Phone
(731) 925-2300
Fax
(731) 687-0194
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22145 TN Primary

Addresses

Primary practice location

765 Florence Rd
Savannah, TN 38372-3451

Mailing address

PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300

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
I20170127001103 TN Practitioner - Nurse Practitioner 1658653654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hardin County Regional Health Center 30 clinicians

Practice addresses (Care Compare)

181 S Y SQ
Selmer, TN 38375-1739
Phone (731) 925-2300

Hospital & facility affiliations

  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin County Regional Health Center CurrentSince Jan 9, 2017 Accepting new patients
Hardin County Regional Health Center CurrentSince Jan 9, 2017 Accepting new patients

Locations

207 Main St
Clifton, TN 38425
Phone (931) 676-3121

765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300

765 Florence Rd
Ste A
Savannah, TN 38372

181 S Y Sq
Selmer, TN 38375
Phone (731) 434-0200

Interoperability endpoints

  • Direct secure messaging: ashley.shaw.p1@direct.lifespanhealth.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1669917522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723451",
            "telephone_number": "731-925-2300",
            "fax_number": "731-687-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.