Active NPI
Sharon Deloise Melton, APRN
- Family Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26040
- Practice address
- 1100 Shallowford Rd
Chattanooga, TN 37411-1623 - Phone
- (423) 596-7170
- NPI assigned
- Jun 12, 2019
- Last updated
- Mar 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26040 | TN | Primary |
| Registered Nurse | 163W00000X | 174525 | TN |
Addresses
Primary practice location
1100 Shallowford Rd
Chattanooga, TN 37411-1623
Mailing address
4312 Holiday Inn Expressway
Ste 102
Cleveland, TN 37343
Phone (423) 331-5200
Other practice location 1
979 E 3rd St Ste 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466
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
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-4983
Phone (423) 541-5102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174525 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| En LLC | Current | Accepting new patients | |
| En LLC | Current | Accepting new patients |
Locations
1635 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 541-5102
4312 Holiday Inn Express Way NW
Ste 102
Cleveland, TN 37312
Phone (423) 331-5200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1912566928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 HOLIDAY INN EXPRESSWAY",
"address_2": "STE 102",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-331-5200",
"fax_number": "423-250-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374111623",
"telephone_number": "423-596-7170"
}
],
"practiceLocations": [
{
"address_1": "979 E 3rd St Ste 300",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374032187",
"country_code": "US",
"telephone_number": "423-267-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELTON",
"first_name": "SHARON",
"middle_name": "DELOISE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "26040",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "174525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.
- 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.