Active NPI
Shannon Hollowell, FNP
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00221039 | Other | TN | MEDICARE RAILROAD |
| 1512905 | Medicaid | TN |
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
Enrollment records 1
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
- Greeneville Community Hospital
- Lonesome Pine Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7607 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Current | Accepting new patients | |
| Pain Medicine Associates, P.C. | Current | Accepting new patients | |
| Pain Medicine Associates, P.C. | Pain Medicine | Current | Accepting new patients |
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Current | 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
- 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.
-
- Interventional Pain Medicine Physician
- Chattanooga, TN
- NPI 1447203922
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Johnson City, TN
- NPI 1477594364
-
- Psychologist
- Johnson City, TN
- NPI 1962655696
-
- Prosthetic/Orthotic Supplier
- Cleveland, TN
- NPI 1134872922
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.