Active NPI
Nancy S Shisler, C.F.N.P.
- Pediatric Nurse Practitioner
- Bristol, TN
National Provider Identifier
1972604619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CF-000401
- Practice address
- 320 Steeles Rd
Bristol, TN 37620-9532 - Phone
- (423) 968-2599
- Fax
- (423) 968-1974
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | CF-000401 | TN | Primary |
Addresses
Primary practice location
320 Steeles Rd
Bristol, TN 37620-9532
Mailing address
320 Steeles Rd
Bristol, TN 37620-9532
Phone (423) 968-2599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF-000401 | TN | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972604619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 STEELES RD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376209532",
"telephone_number": "423-968-2599",
"fax_number": "423-968-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 STEELES RD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376209532",
"telephone_number": "423-968-2599",
"fax_number": "423-968-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHISLER",
"first_name": "NANCY",
"middle_name": "S",
"credential": "C.F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "CF-000401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.