Active NPI
Shaunta Lea Roane, APRN, NP
- Family Nurse Practitioner
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000024910
- 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
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 |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCConvenient Care Clinic LLCMethodist Healthcare Community Care Associates
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000024910 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care Clinic, LLC | Family | Current | Accepting new patients |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Convenient Care Clinic, LLC | Family | Current | Accepting new patients |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Family | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Family | Current | Accepting new patients |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Roane Primary Care and Family Medicine | Current | Accepting new patients | |
| Ihms Healthcare Incorporated | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Cordova, TN
- NPI 1194839241
TN
-
- Urgent Care Clinic/Center
- Olive Branch, MS
- NPI 1821272501
MS
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1700720059
-
- Rural Health Clinic/Center
- Cookeville, TN
- NPI 1114650819
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1306579008
-
- Rural Health Clinic/Center
- Springfield, TN
- NPI 1316672751
-
- Rural Health Clinic/Center
- Dayton, TN
- NPI 1326771023
-
- Corporate Health Clinic/Center
- Memphis, TN
- NPI 1699941195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.