Individual provider Active NPI

Shandee Lashea Ellis, NP

  • Family Nurse Practitioner
  • Newport, TN
National Provider Identifier
1851945059
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25462 Issued in TN
Practice address
756 Cosby Hwy
Newport, TN 37821-3455
Phone
(423) 237-6546
NPI assigned
Jul 26, 2019
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 25462 TN Primary

Addresses

Primary practice location

756 Cosby Hwy
Newport, TN 37821-3455

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

Other practice location 1

1244 Burkemont Ave
Morganton, NC 28655-4540
Phone (828) 439-0055

Other identifiers 2

IdentifierTypeStateIssuer
5021373OtherNCSTATE LICENSE
25462OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190910000166 TN Practitioner - Nurse Practitioner 8921337452 Reassigns benefits to 2 organizations
I20250609002435 NC Practitioner - Nurse Practitioner 8921337452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 26, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 26, 2019 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Mar 24, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

1515 Mockingbird Ln
Ste 420
Charlotte, NC 28209
Phone (310) 230-5984

212 S Tryon St
Ste 100
Charlotte, NC 28281

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

756 Cosby Hwy
Newport, TN 37821
Phone (423) 237-6546

Organizations & group practices 6

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1851945059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213455",
            "telephone_number": "423-237-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Burkemont Ave",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554540",
            "country_code": "US",
            "telephone_number": "828-439-0055",
            "fax_number": "828-439-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SHANDEE",
        "middle_name": "LASHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5021373",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25462",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.