NPIMap

Individual provider Active NPI

Brittney Anne Shults, NP-C

  • Family Nurse Practitioner
  • Loretto, TN
National Provider Identifier
1942964705
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29336 Issued in TN
Practice address
722 N Military St
Loretto, TN 38469-2336
Phone
(931) 853-4622
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29336 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117000264 TN Practitioner - Nurse Practitioner 2264821040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians

Practice addresses (Care Compare)

2019 N Locust Ave
Lawrenceburg, TN 38464-2337
Phone (931) 762-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC CurrentSince Jan 3, 2022 Accepting new patients
Amg-Crockett, LLC CurrentSince Jan 3, 2022 Accepting new patients
Amg-Crockett 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

1321 S Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-6545

184 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-1800

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

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

200 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: brittney.shults.1@19363.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1942964705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FRANKLIN DR",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644526",
            "telephone_number": "931-231-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N MILITARY ST",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384692336",
            "telephone_number": "931-853-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTS",
        "first_name": "BRITTNEY",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loretto, TN

Sources for this page

Verify at the official NPI Registry.