Brittney Anne Shults, NP-C
Individual provider Active NPI Family Nurse Practitioner · Loretto, TN
NPI 1942964705 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1942964705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 29336 (TN)
- Practice address
- 722 N Military St
Loretto, TN 38469-2336 - Phone
- (931) 853-4622
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amg-Crockett, LLC
Practice addresses (Care Compare)
2019 N Locust Ave
Lawrenceburg, TN 38464-2337
Phone (931) 762-1800
Hospital & facility affiliations
- NHC Homecare of Columbia
- Southern Tennessee Regional Health System Lawrence
- Maury Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211117000264 | TN | Practitioner - Nurse Practitioner | 2264821040 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Crockett, LLC | Current |
Accepting new patients | |
| Amg-Crockett, LLC | Current |
Accepting new patients | |
| Amg -Southern Tennessee LLC | Past | Accepting new patients | |
| Amg-Crockett LLC | Past | Accepting new patients | |
| Amg-Crockett, LLC | Past | Accepting new patients | |
| Amg-Crockett, LLC | Past | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
184 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-1800
1321 S Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-9993
2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800
722 N Military St
Loretto, TN 38469
Phone (931) 853-4622
4955D Highway 43 N
Mt Pleasant, TN 38474
Phone (931) 964-0849
200 Hillside Dr
Pulaski, TN 38478
Phone (931) 424-9388
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
Interoperability endpoints
- brittney.shults.1@19363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29336 | TN | Yes |
Addresses
Primary practice location
722 N Military St
Loretto, TN 38469-2336
Mailing address
9 Franklin Dr
Lawrenceburg, TN 38464-4526
Phone (931) 231-0967
Other providers in Loretto, TN
- Nicole Tucker McConnell
- Sydney Taylor Phillips
- Red E 2 Ride LLC
- Matthew E. Schantz
- Jacob Shelton
- Mary Suzann Tripp
- Wal-Mart Stores East LP
All providers in Loretto, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.