Shellie Reaves Hendren, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13058 Issued in TN

Practice address

99 Doctors Dr Ste 700
Munford, TN 38058-6306

Phone

(901) 837-7200

Fax

(901) 837-4769

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Care Services of West TN, Inc. 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2031/brand/1/csg/1/fhir/r4

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.

• Professional Care Services of West TN, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, TN
  • NPI 1457351215

  TN

  Medicare reassignment Care Compare group NPD
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  NPD
• May Medical Group P.C.

  • Family Medicine Physician
  • Munford, TN
  • NPI 1992777072
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1841470366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DOCTORS DR STE 700",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586306",
            "telephone_number": "901-837-7200",
            "fax_number": "901-837-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DOCTORS DR STE 700",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586306",
            "telephone_number": "901-837-7200",
            "fax_number": "901-837-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDREN",
        "first_name": "SHELLIE",
        "middle_name": "REAVES",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Jean Fleming, MSN APRN,BC FNP
• Consuelo Foster, FNP
• Tamekia Hall
• Britney Hardin, APRN
• Wanda J Harrell, APN
• Mary Gillihan Higdon, DDS
• Walter Johnson, DC
• Andrea Michelle Jossell, D.C.
• Kimberly A Kellum, MS/LPC
• Khushe Inc

• All providers in Munford, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.