Organization Active NPI

Shields Family Clinic

  • Family Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1871827527
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6167 Issued in KY
Legal business name
SHIELDS FAMILY CLINIC
Practice address
1030 Brookhaven Rd
Franklin, KY 42134-2745
Phone
(270) 586-1800
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Thomas Bernard Shields, ARNPNPI 1649240979
Title
Owner
Phone
(270) 776-3381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 6167 KY Primary

Addresses

Primary practice location

1030 Brookhaven Rd
Franklin, KY 42134-2745

Mailing address

1030 Brookhaven Rd
PO Box 346
Franklin, KY 42135-0346
Phone (270) 586-1800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1871827527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BROOKHAVEN RD",
            "address_2": "PO BOX 346",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421350346",
            "telephone_number": "270-586-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BROOKHAVEN RD",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342745",
            "telephone_number": "270-586-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-776-3381",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.