Individual provider Active NPI

Shannon Diane Blevins, FNP

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1689969982
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15802 Issued in TN
Practice address
2020 E. Lamar Alexander Pkwy
2012 Chilhowee Medical Park
Maryville, TN 37804
Phone
(865) 503-6865
NPI assigned
Jun 14, 2011
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 15802 TN Primary

Addresses

Primary practice location

2020 E. Lamar Alexander Pkwy
2012 Chilhowee Medical Park
Maryville, TN 37804

Mailing address

2020 E. Lamar Alexander Pkwy
2012 Chilhowee Medical Park
Maryville, TN 37804
Phone (865) 503-6865

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
I20110826000479 TN Practitioner - Nurse Practitioner 9234309386 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harper Medical Group, PCGroup PAC ID 5799961850, 13 clinicians

Practice addresses (Care Compare)

5475 Poplar Ave
Suite 106
Memphis, TN 38119-3730
Phone (901) 254-8040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Pain Management LLC CurrentSince Nov 3, 2025 Accepting new patients
Anesthesiology & Pain Management Consultants Inc CurrentSince Sep 15, 2020 Accepting new patients
Harper Medical Group, PC CurrentSince Mar 13, 2025 Accepting new patients
Alliance Pain Management LLC CurrentSince Nov 3, 2025 Accepting new patients
Afc TN Medical Group PC CurrentSince Jun 13, 2024 Accepting new patients
Sr Medical Services, LLC Past Accepting new patients

Locations

2606 Greenway Dr
Ste 101
Knoxville, TN 37918
Phone (865) 687-3313

125 Town Creek Rd E
Ste 2
Lenoir City, TN 37772
Phone (865) 816-3270

1111 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 724-0867

5475 Poplar Ave
Ste 106
Memphis, TN 38119
Phone (901) 254-8040

233 E Emory Rd
Ste 111
Powell, TN 37849
Phone (865) 250-0135

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJAFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1689969982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E. LAMAR ALEXANDER PKWY",
            "address_2": "2012 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-503-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E. LAMAR ALEXANDER PKWY",
            "address_2": "2012 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-503-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "SHANNON",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.