Clarinda Burton-Shannon, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16592 Issued in TN

Practice address

1405 W Baddour Pkwy Ste 105
Lebanon, TN 37087-2568

Phone

(615) 965-2467

Fax

(615) 965-2331

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.burton-shannon@bcs-tn.direct.office.nextgen.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD
• Best Care Services

  • Clinic/Center
  • Lebanon, TN
  • NPI 1649740242
  NPD Authorized official
• Darryl Champion

  • Radiologic Technologist
  • Lebanon, TN
  • NPI 1588970990
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1881644763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY STE 105",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872568",
            "telephone_number": "615-965-2467",
            "fax_number": "615-965-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY STE 105",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872568",
            "telephone_number": "615-965-2467",
            "fax_number": "615-965-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 W Baddour Pkwy",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370871510",
            "country_code": "US",
            "telephone_number": "615-547-5400",
            "fax_number": "615-547-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON-SHANNON",
        "first_name": "CLARINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "16592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "3031979",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031979",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031977",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bestcareservices1405@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business/office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1405 W Baddour Pkwy Ste 105",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370872568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karrie A Burkhardt, P.A.-C
• Lucas Burks, RBT
• Savannah Katherine Burrell, PHARMD
• Lisa H Burruss, MS CCC SLP
• Charlie Joe Burse III, DPH
• Michele A. Burton, RN
• Joshua C Bush, DDS
• Kimberly Ann Bush, P.T.
• John Laurence Butcher, MD
• Emily Kathryn Buttkus, PAC

• Obstetrics & Gynecology Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.