Shanna Jade Hall

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012657 Issued in KY

Practice address

7629 Ky Route 979
Grethel, KY 41631-6304

Phone

(606) 587-2200

NPI assigned

Sep 7, 2018

Last updated

Sep 7, 2018By 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

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Sandy Health Care, IncGroup PAC ID 1951211218, shared by 17 NPIs, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hall.shanna.001.0170011@bshc.meditab.direct-ci.com

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.

• Big Sandy Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Salyersville, KY
  • NPI 1922594506
  Medicare reassignment NPD
• Big Sandy Health Care Inc

  dba Freeburn Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Freeburn, KY
  • NPI 1972173136
  Medicare reassignment NPD
• Big Sandy Health Care, Inc

  dba Martin County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
  • NPI 1104055805
  Medicare reassignment NPD
• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD
• Big Sandy Health Care Inc

  dba Physicians for Women

  • Federally Qualified Health Center (FQHC)
  • Auxier, KY
  • NPI 1588606370
  NPD
• Big Sandy Health Care Inc

  dba Shelby Valley Clinic

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1700828597
  NPD
• Big Sandy Health Care Inc

  dba Pikeville Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1831661404
  NPD
• Big Sandy Health Care, Inc

  dba South Floyd Elementary School

  • Federally Qualified Health Center (FQHC)
  • Hi Hat, KY
  • NPI 1396517322
  NPD

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1790268530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 KY ROUTE 979",
            "city": "GRETHEL",
            "state": "KY",
            "postal_code": "416316304",
            "telephone_number": "606-587-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHANNA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagan Annabathula, MD
• Big Sandy Health Care Inc (Eula Hall Health Center)
• Big Sandy Health Care Inc (Mud Creek Clinic Pharmacy)
• William T Connelly, LCSW
• Floyd County Health Department
• Jessica Kiser
• Trenton Lee McClanahan, RPH
• Natasha Moore
• Christina Newsome
• Teresa Newsome, IECE

• Family Nurse Practitioner in Grethel, KY
• Providers in Grethel, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.

Verify at the official NPI Registry.