Active NPI
Camden Faith Studstill Shaw, DNP, CPNP-AC/PC
- Pediatric Nurse Practitioner
- Memphis, TN
National Provider Identifier
1881406544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 40807
- Practice address
- Universty of Tennessee Health Science Center
College of Nursing, 874 Union Ave, RM 325
Memphis, TN 38163 - Phone
- (901) 448-6128
- NPI assigned
- Jan 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 40807 | TN | Primary |
Addresses
Primary practice location
Universty of Tennessee Health Science Center
College of Nursing, 874 Union Ave, RM 325
Memphis, TN 38163
Mailing address
51 N Dunlap St Ofc 282
Memphis, TN 38105-4625
Phone (901) 921-0018
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
850 Poplar Ave
BLDG 2
Memphis, TN 38105-4607
850 Poplar Ave BLDG
Suite 2
Memphis, TN 38105-4607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40807 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients |
Locations
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1881406544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N DUNLAP ST OFC 282",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054625",
"telephone_number": "901-921-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSTY OF TENNESSEE HEALTH SCIENCE CENTER",
"address_2": "COLLEGE OF NURSING, 874 UNION AVE, RM 325",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38163",
"telephone_number": "901-448-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "CAMDEN",
"middle_name": "FAITH STUDSTILL",
"name_prefix": "Dr.",
"credential": "DNP, CPNP-AC/PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "40807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.