Active NPI
Sheila Jennings Shafer, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 34325
- Practice address
- 871 Professional Park Dr
Clarksville, TN 37040-5257 - Phone
- (866) 816-0433
- NPI assigned
- Jun 19, 2023
- Last updated
- Aug 3, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 34325 | TN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11026875 | FL |
Addresses
Primary practice location
871 Professional Park Dr
Clarksville, TN 37040-5257
Mailing address
275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340
Other names 1
- Sheila Jennings Shafer
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7110 Crossroads Blvd
Suite 400
Brentwood, TN 37027-2826
Phone (615) 208-9499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11026875 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Cooperative, Inc | Current | Accepting new patients | |
| Nashville Brain Institute | Current | Accepting new patients | |
| River Region Psychiatry Associates LLC | Past | Accepting new patients |
Locations
7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499
871 Professional Park Dr
Clarksville, TN 37040
Phone (931) 206-3021
110 Glancy St
Ste 114
Goodlettsville, TN 37072
Phone (423) 290-2837
5651 Frist Blvd
Ste 717
Hermitage, TN 37076
Phone (615) 316-9511
5441 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 468-1372
2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000
275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340
Organizations & group practices 3
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.
-
dba Mental Health Cooperative
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1083632897
-
dba Ally Psychiatry
- Psychiatry Physician
- Franklin, TN
- NPI 1336949056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1932884954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281805",
"telephone_number": "615-726-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 PROFESSIONAL PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405257",
"telephone_number": "866-816-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "SHEILA",
"middle_name": "JENNINGS",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "34325",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11026875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "SHAFER",
"middle_name": "JENNINGS",
"credential": "PMHNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.