Shannon Nicole Goines, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

32512 Issued in TN

Practice address

10529 Spruce Ridge LN
Lakeland, TN 38002-8373

Phone

(901) 569-8083

NPI assigned

Aug 5, 2022

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: sgoines32948@mlh.direct-ci.com

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.

• Baptist Memorial Medical Group Inc

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1306089206
  Medicare reassignment

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1962139261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 SPRUCE RIDGE LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028373",
            "telephone_number": "901-569-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10529 SPRUCE RIDGE LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028373",
            "telephone_number": "901-569-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINES",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashaundria Lynette Fields, MSN, APRN, FNP-C
• Joshua Chase Fish, DC
• Sydney Fitzwater
• Christy Erin Flores, M.S.,CCC-SLP
• Teresa Gibson Ford
• Kimberly Haslip
• Kimberlee Snell Herrmann
• Nancy Anne Highland, DDS
• Catherine Hollahan, ACNP
• Danielle Jaworski Howell, NP

• Family Nurse Practitioner in Lakeland, TN
• Providers in Lakeland, 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 Nov 19, 2024; 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.