Shade F Adigun, APN
Individual provider Active NPI Critical Care Medicine Nurse Practitioner · Powell, TN
NPI 1841636628 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1841636628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Nurse Practitioner 363LC0200X
- License
- 17176 (TN)
- Practice address
- 7557B Dannaher Dr Ste 225
Powell, TN 37849-3568 - Phone
- (865) 647-5800
- Fax
- (865) 647-5979
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17176 | TN | MD | Critical Care Medicine Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 17176 | TN | Yes |
Addresses
Primary practice location
7557B Dannaher Dr Ste 225
Powell, TN 37849-3568
Mailing address
7557B Dannaher Dr Ste 225
Powell, TN 37849-3568
Phone (865) 647-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533108 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shade.adigun.1@10667.direct.athenahealth.com |
Other providers in Powell, TN
- Madaen M Abuhamidah
- Christine Anne Acevedo
- Act Medical
- Robert Michael Adams
- Renota L Adkins
- Afc TN Medical Group PC
- Agilitas USA, Inc
- Yasir Naeem Akhtar
- Joshua B Albright
All providers in Powell, TN · Critical Care Medicine Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.