Active NPI
Shashirekha K Shetty, MD
- Pediatrics Physician
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 41815
- Practice address
- 100 Covey Dr Ste 310
Franklin, TN 37067-5663 - Phone
- (615) 203-8750
- Fax
- (866) 854-5230
- NPI assigned
- Aug 12, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 41815 | TN | Primary |
Addresses
Primary practice location
100 Covey Dr Ste 310
Franklin, TN 37067-5663
Mailing address
100 Covey Dr Ste 310
Franklin, TN 37067-5663
Phone (615) 203-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q002189 | 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Franklin Pediatric Clinic, PLLC | Pediatrics | Current | Accepting new patients |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Centennial Pediatrics PC | Pediatrics | Past | Accepting new patients |
Locations
100 Covey Dr
Ste 310
Franklin, TN 37067
Phone (615) 203-8750
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
1090 N Ellington Pkwy
Ste 201
Lewisburg, TN 37091
Phone (931) 270-1278
1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Pediatrics Physician
- Franklin, TN
- NPI 1629702782
-
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
-
- Federally Qualified Health Center (FQHC)
- Hohenwald, TN
- NPI 1790108934
-
- Federally Qualified Health Center (FQHC)
- Collinwood, TN
- NPI 1962117713
-
- Pediatrics Physician
- Nashville, TN
- NPI 1477588523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1760484414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COVEY DR STE 310",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675663",
"telephone_number": "615-203-8750",
"fax_number": "615-472-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COVEY DR STE 310",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675663",
"telephone_number": "615-203-8750",
"fax_number": "866-854-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETTY",
"first_name": "SHASHIREKHA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "41815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q002189",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.