Shannon Reagan Huffer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000005201 Issued in TN

Practice address

710 Kings LN
Tullahoma, TN 37388-5395

Phone

(931) 455-7044

NPI assigned

Jun 23, 2021

Last updated

Nov 21, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25094/brand/1/csg/1/fhir/r4
• Direct secure messaging: shannon.huffer.1@25094.direct.athenahealth.com

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.

• Privia Medical Group Tennessee LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1376110858
  NPD (past)
• The Pediatric Center of Tullahoma, PC

  • Pediatrics Physician
  • Tullahoma, TN
  • NPI 1033105051
  NPD (past)
• Trevecca Nazarene University

  • Local Education Agency (LEA)
  • Nashville, TN
  • NPI 1033407952
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1871162875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KINGS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885395",
            "telephone_number": "931-455-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KINGS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885395",
            "telephone_number": "931-455-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFER",
        "first_name": "SHANNON",
        "middle_name": "REAGAN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000005201",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Alexis Holtz, PTA
• Hometown Respiratory Consultants, LLC (AdaptHealth)
• Alison Pinkerton Horrocks, FNP-C
• Karisa Catherine Rose Hudson
• Trevor Ray Hudson, BACHELORS
• Dale Owen Hunter II, D.M.D.
• Micah Lane Hyman, M.S.
• Elizabeth Illenberg, FNP
• Independent Physical Therapy
• Alton Earl Ingram Jr., MD

• Physician Assistant in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Physician Assistant in Tennessee

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