Individual provider Active NPI

Shannon Leah Hutchison, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1881112225
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28298 Issued in TN
Practice address
2449 Reagan Rd
Knoxville, TN 37931-3706
Phone
(865) 246-2104
Fax
(865) 246-2106
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28298 TN Primary
Registered Nurse 163W00000X 137844 TN

Addresses

Primary practice location

2449 Reagan Rd
Knoxville, TN 37931-3706

Mailing address

2862 Surfside Shores LN
Knoxville, TN 37938-4596
Phone (865) 246-2104

Other practice location 1

10133 Sherrill Blvd Ste 220
Knoxville, TN 37932-3775
Phone (877) 641-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201123003008 TN Practitioner - Nurse Practitioner 2668883653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
69.53 of 100Reported as group
Quality
48.61
Improvement activities
40
Cost
70.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137844TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 14, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 14, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 20, 2024 Accepting new patients

Locations

401 Main St
Benton, KY 42025
Phone (270) 906-0369

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1881112225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 SURFSIDE SHORES LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384596",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 REAGAN RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313706",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10133 Sherrill Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379323775",
            "country_code": "US",
            "telephone_number": "877-641-1155",
            "fax_number": "615-320-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "SHANNON",
        "middle_name": "LEAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28298",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "137844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.