Active NPI
Shanda Bruner, APRN
- Oncology Clinical Nurse Specialist
- Knoxville, TN
National Provider Identifier
1730146325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinical Nurse Specialist
- License
- 59493
- Practice address
- 1915 White Ave
Knoxville, TN 37916-2300 - Phone
- (865) 541-1720
- Fax
- (865) 541-2451
- NPI assigned
- Apr 27, 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 |
|---|---|---|---|---|
| Oncology Clinical Nurse Specialist | 364SX0200X | 59493 | TN | Primary |
Addresses
Primary practice location
1915 White Ave
Knoxville, TN 37916-2300
Mailing address
1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59493 | TN | MD | Oncology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1730146325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 WHITE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162300",
"telephone_number": "865-541-1720",
"fax_number": "865-541-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 WHITE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162300",
"telephone_number": "865-541-1720",
"fax_number": "865-541-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "SHANDA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SX0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Oncology",
"state": "TN",
"license": "59493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.