Individual provider Active NPI

Shawn Cooke

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1801432612
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000026063 Issued in TN
Practice address
4402 Lebanon Pike
Hermitage, TN 37076-1475
Phone
(866) 389-2727
NPI assigned
Nov 27, 2019
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 APN0000026063 TN Primary

Addresses

Primary practice location

4402 Lebanon Pike
Hermitage, TN 37076-1475

Mailing address

4402 Lebanon Pike
Hermitage, TN 37076-1475
Phone (866) 389-2727

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
I20200610003025 TN Practitioner - Nurse Practitioner 1658792007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

100 Glen Oak Blvd
Hendersonville, TN 37075-3025
Phone (615) 826-3573

1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727

4402 Lebanon Pike
Hermitage, TN 37076-1475
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000026063TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince May 12, 2020 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Wci School Health Services, PLLC Family PastSince Dec 1, 2019 Accepting new patients

Locations

4402 Lebanon Pike
Hermitage, TN 37076
Phone (615) 885-5013

6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

903 Memorial Blvd
Springfield, TN 37172
Phone (615) 384-8481

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1801432612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761475",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761475",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000026063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.