Shasta Wilkes Corral, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

10731 Chapman Hwy
Seymour, TN 37865-4765

Phone

(865) 573-0698

Fax

(865) 573-3174

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

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

Other names 1

• Shasta Wilkes Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1750724456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "address_2": "DEPARTMENT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10731 CHAPMAN HWY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654765",
            "telephone_number": "865-573-0698",
            "fax_number": "865-573-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRAL",
        "first_name": "SHASTA",
        "middle_name": "WILKES",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASTA",
            "last_name": "JONES",
            "middle_name": "WILKES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherokee Health Systems (River Valley Health)
• Cathi Cogle, CPM-TN
• Katherine Elizabeth Collier, ANP
• Amber Collins, LAC, MACOM, DACOM
• Laura Contri, FNP
• Charles Matthew Cox, PHARMD.
• Keelee Crawford
• Kayla Elaine Crye, NP
• Michelle L Currier, FNP-BC
• Heidi Leigh Daniel, DMD

• Professional Counselor in Seymour, TN
• Providers in Seymour, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.