Mary Ellen Shea, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3087 Issued in TN

Practice address

301 21St Ave N
Nashville, TN 37203-1821

Phone

(615) 329-6600

NPI assigned

Nov 2, 2005

Last updated

Mar 23, 2022By 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 identifiers 1

Other names 1

• Mary Ellen Stansbury Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mshea33032@direct.vumc.org

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1811988413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031821",
            "telephone_number": "615-329-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT3087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3656253",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshea33032@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "301 21st Ave N",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STANSBURY",
            "middle_name": "ELLEN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roger Smith Shaw Jr.
• Sacara Danielle Shaw, M.D.
• Shamelia Renee Shaw, MSW
• Saed Hussein Shawar, M.B.B.S
• Lindsey Shea Johnstone, MD
• Leslie Anne Shealy, FNP-C
• Leila Shearer
• Katherine Coble Shearon, R.N.
• Jan-Nee B Sheats-Mathis, D.M.D.
• Jimmy B Sheats II, D.M.D.

• Occupational Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.