Tina Nicole Shinault, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000029740 Issued in TN

Practice address

6400 Shelby View Dr
Memphis, TN 38134-7659

Phone

(901) 516-1600

NPI assigned

Aug 6, 2021

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1912671496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11771",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381110771",
            "telephone_number": "901-355-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SHELBY VIEW DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347659",
            "telephone_number": "901-516-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINAULT",
        "first_name": "TINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000029740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Shiloah, MD
• Cristina M Shimek, M.D.
• Nir Shimony, M.D.
• Hae Won Shin, M.D.
• Aaron Shinault
• Werner Harumiti Shintaku, DDS
• Destinee Shipley
• Thomas Henry Shipmon, D.D.S.
• Kristi Shipp
• Shirley Ann Spiller-Johnson

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.