Individual provider Active NPI

Ashley Shamblin, MSN, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1760788699
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15590 Issued in TN
Practice address
725 Glenwood Dr Ste E680
Chattanooga, TN 37404-1176
Phone
(423) 495-7378
NPI assigned
Feb 10, 2011
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15590 TN Primary

Addresses

Primary practice location

725 Glenwood Dr Ste E680
Chattanooga, TN 37404-1176

Mailing address

725 Glenwood Dr Ste E680
Chattanooga, TN 37404-1176
Phone (423) 495-7378

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724001041 TN Practitioner - Nurse Practitioner 3577729268 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Sleep Specialists PLC CurrentSince Jul 3, 2012 Accepting new patients
Beacon Health Alliance PC CurrentSince Aug 1, 2022 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jun 1, 2020 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E480
Chattanooga, TN 37404
Phone (423) 629-1491

725 Glenwood Dr
Ste E680
Chattanooga, TN 37404
Phone (423) 206-4140

2051 Hamill Rd
Ste 103
Hixson, TN 37343
Phone (423) 756-8871

10820 Parkside Dr
Ste 160
Knoxville, TN 37934
Phone (865) 632-5627

7323 Chapman Hwy
Ste 160
Knoxville, TN 37920
Phone (865) 647-3860

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1760788699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E680",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041176",
            "telephone_number": "423-495-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E680",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041176",
            "telephone_number": "423-495-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "ASHLEY",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.