Active NPI
Shakenna Bass, FNP-C
- Nurse Practitioner
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012047
- Practice address
- 501 E Green Dr
High Point, NC 27260-6700 - Phone
- (336) 641-7688
- NPI assigned
- Jul 25, 2019
- Last updated
- Jul 25, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012047 | NC | Primary |
Addresses
Primary practice location
501 E Green Dr
High Point, NC 27260-6700
Mailing address
501 E Green Dr
High Point, NC 27260-6700
Phone (336) 641-7688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- University of North Carolina at Chapel Hill School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| County of Guilford | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
3311 Beam Rd
Ste 300A
Charlotte, NC 28217
Phone (704) 468-0137
1100 E Wendover Ave
Greensboro, NC 27405
Phone (336) 641-3245
1203 Maple St
Greensboro, NC 27405
Phone (336) 641-3896
501 E Green Dr
High Point, NC 27260
Phone (336) 641-7802
Interoperability endpoints
- sbass2948683@carolinashealthcaresystem.direct-ci.com
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.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Women's Care Charlotte OB/GYN
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1730709429
-
dba Guilford County Department of Public Health
- State or Local Public Health Clinic/Center
- Greensboro, NC
- NPI 1245272657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1730733080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606700",
"telephone_number": "336-641-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606700",
"telephone_number": "336-641-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "SHAKENNA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.