Individual provider Active NPI

Sharon Deloise Melton, APRN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1912566928
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26040 Issued in TN
Practice address
1100 Shallowford Rd
Chattanooga, TN 37411-1623
Phone
(423) 596-7170
NPI assigned
Jun 12, 2019
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226002162 TN Practitioner - Nurse Practitioner 6204263502 Reassigns benefits to 1 organization

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
En LLCGroup PAC ID 4385989557, 16 clinicians

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

LicenseStateTypeSpecialty
174525TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
En LLC CurrentSince Dec 17, 2019 Accepting new patients
En LLC CurrentSince Dec 17, 2019 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

Verify at the official NPI Registry.