Active NPI
Shelly Shempert, FNP
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0000120213
- Practice address
- 6612 Maynardville Pike
Knoxville, TN 37918-4817 - Phone
- (865) 688-1584
- Fax
- (865) 688-1581
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000120213 | TN | Primary |
Addresses
Primary practice location
6612 Maynardville Pike
Knoxville, TN 37918-4817
Mailing address
6612 Maynardville Pike
Knoxville, TN 37918-4817
Phone (865) 688-1584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, OH, WV, IN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Potters LN
Clarksville, IN 47129-1017
Phone (812) 948-0808
14751 Carey Rd
Carmel, IN 46033-9084
Phone (317) 575-2208
150 Beechmont Dr NE
Harrison Healthcare Center
Corydon, IN 47112-1717
Phone (812) 738-0550
2125 Royce St
Portsmouth, OH 45662-4714
Phone (740) 354-6635
240 Beechmont Dr NE
Indian Creek Healthcare Center
Corydon, IN 47112-1718
Phone (812) 738-8127
3 Merit Dr
Richmond Heights, OH 44143-1457
Phone (216) 261-9600
3800 Summit Glen Dr
Dayton, OH 45449-3647
Phone (937) 436-2273
570 N Rocky River Dr
Berea, OH 44017-1613
Phone (440) 243-2122
620 Water St
Chardon, OH 44024-1149
Phone (440) 285-9400
625 Probasco St
Cincinnati, OH 45220-2710
Phone (513) 281-2464
6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000
6940 Stiegler LN
Cincinnati, OH 45243-2635
Phone (513) 561-6400
8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547
8700 Moran Rd
Cincinnati, OH 45244-1986
Phone (513) 578-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000120213 | TN | MD | Family Nurse Practitioner |
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Harriman, TN
- NPI 1831322973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1902218985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6612 MAYNARDVILLE PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379184817",
"telephone_number": "865-688-1584",
"fax_number": "865-688-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6612 MAYNARDVILLE PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379184817",
"telephone_number": "865-688-1584",
"fax_number": "865-688-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMPERT",
"first_name": "SHELLY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "0000120213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.