Dorothy Gail Shelton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

95879 Issued in TN

Practice address

201 William D Jones Blvd
Fayetteville, TN 37334-2730

Phone

(931) 393-9151

NPI assigned

Feb 1, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1700539566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 FALL RIVER RD",
            "city": "GOODSPRING",
            "state": "TN",
            "postal_code": "384605290",
            "telephone_number": "931-292-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WILLIAM D JONES BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342730",
            "telephone_number": "931-393-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "DOROTHY",
        "middle_name": "GAIL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "95879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartie C Scott, FNP
• Cara Scott, PT
• Paxton Seeley
• Joseph Wayne Self
• Shelbyville Clinic Corp
• Gail L Shutt, FNP
• Angela M Simpson, M.CD, SLP-CCC
• Emma Constance Smith
• John Cordell Smith, PHARM.D
• Rebecca Smith

• Licensed Practical Nurse in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.