Individual provider Active NPI

Shaunta Lea Roane, APRN, NP

  • Family Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1982265088
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000024910 Issued in TN
Practice address
6670 Stage Rd
Bartlett, TN 38134-3810
Phone
(901) 384-9000
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 APN0000024910 TN Primary

Addresses

Primary practice location

6670 Stage Rd
Bartlett, TN 38134-3810

Mailing address

6670 Stage Rd
Bartlett, TN 38134-3810
Phone (901) 384-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191017000880 TN Practitioner - Nurse Practitioner 5395076632 Reassigns benefits to 2 organizations
I20220119002808 MS Practitioner - Nurse Practitioner 5395076632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLC 181 clinicians
Convenient Care Clinic LLC 21 clinicians
Methodist Healthcare Community Care Associates 28 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

3040 Goodman Rd W
Horn Lake, MS 38637-1189
Phone (662) 280-3428

397 New Byhalia Rd
Collierville, TN 38017-3705
Phone (901) 860-0536

7235 Hacks Cross Rd
Olive Branch, MS 38654-4213
Phone (662) 893-9800

8035 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 758-6035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000024910TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care Clinic, LLC Family CurrentSince Nov 18, 2025 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Sep 27, 2021 Accepting new patients
Convenient Care Clinic, LLC Family CurrentSince Nov 18, 2025 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Jan 3, 2022 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 1, 2025 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 1, 2025 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Sep 27, 2021 Accepting new patients
Roane Primary Care and Family Medicine Current Accepting new patients
Ihms Healthcare Incorporated PastSince Mar 1, 2024 Accepting new patients
Precision Health Care, Inc Past Accepting new patients

Locations

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

3040 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 230-3420

7235 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 893-7878

5142 Goodman Rd
Ste 107
Olive Branch, MS 38654
Phone (662) 874-5755

397 New Byhalia Rd
Collierville, TN 38017
Phone (901) 860-0536

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • Direct secure messaging: sroane33464@mlh.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1982265088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343810",
            "telephone_number": "901-384-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343810",
            "telephone_number": "901-384-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROANE",
        "first_name": "SHAUNTA",
        "middle_name": "LEA",
        "credential": "APRN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000024910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.