Individual provider Active NPI

Shannon Hollowell, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1699710004
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7607 Issued in TN
Practice address
101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-4007
Phone
(423) 232-6120
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 7607 TN Primary

Addresses

Primary practice location

101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-4007

Mailing address

101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604-4007
Phone (423) 232-6120

Other practice location 1

2202 N John B Dennis Hwy Ste 200
Kingsport, TN 37660-5918
Phone (423) 392-6690

Other identifiers 2

IdentifierTypeStateIssuer
P00221039OtherTNMEDICARE RAILROAD
1512905MedicaidTN

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
I20050525000074 TN Practitioner - Nurse Practitioner 5193767655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

281 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Phone (423) 698-0850

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7607TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Apr 1, 2024 Accepting new patients
Pain Medicine Associates, P.C. CurrentSince Nov 1, 2004 Accepting new patients
Pain Medicine Associates, P.C. Pain Medicine CurrentSince Nov 1, 2004 Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Apr 1, 2024 Accepting new patients

Locations

281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850

101 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 232-6120

2202 N John B Dennis Hwy
Ste 200
Kingsport, TN 37660
Phone (423) 392-6690

Interoperability endpoints

  • Direct secure messaging: shannon.hollowell.1@30188.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1699710004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-232-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-232-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 N John B Dennis Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605918",
            "country_code": "US",
            "telephone_number": "423-392-6690",
            "fax_number": "423-392-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWELL",
        "first_name": "SHANNON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00221039",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512905",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.