Individual provider Active NPI

Sheena Hall, CRNP

  • Adult Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1861218406
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
37783 Issued in TN
Practice address
1848 Rossville Ave
Chattanooga, TN 37408-1932
Phone
(423) 551-6555
Fax
(256) 304-5456
NPI assigned
Nov 27, 2024
Last updated
Jan 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-179965 AL
Adult Health Nurse Practitioner 363LA2200X 37783 TN Primary

Addresses

Primary practice location

1848 Rossville Ave
Chattanooga, TN 37408-1932

Mailing address

510 County Road 797
Valley Head, AL 35989-5028
Phone (256) 997-3256

Other practice location 1

600 S 3rd St
Gadsden, AL 35901-5304
Phone (256) 543-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-179965ALMDAcute Care Nurse Practitioner
37783TNMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1861218406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 COUNTY ROAD 797",
            "city": "VALLEY HEAD",
            "state": "AL",
            "postal_code": "359895028",
            "telephone_number": "256-997-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 ROSSVILLE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081932",
            "telephone_number": "423-551-6555",
            "fax_number": "256-304-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359015304",
            "country_code": "US",
            "telephone_number": "256-543-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHEENA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-179965",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "37783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.