Individual provider Active NPI

Shazma Shaban, RN, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1992040646
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
17181 Issued in TN
Practice address
1115B Dow St
Murfreesboro, TN 37130-2487
Phone
(615) 896-6996
Fax
(615) 896-6985
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 17181 TN Primary

Addresses

Primary practice location

1115B Dow St
Murfreesboro, TN 37130-2487

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

920 S Hartmann Dr Ste 310
Lebanon, TN 37090-4137
Phone (615) 885-1093

Other practice location 2

660 S Mount Juliet Rd Ste 220
MT Juliet, TN 37122-3920
Phone (615) 885-1093

Other practice location 3

5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067
Phone (615) 885-1093

Other names 1

  • Shazma Ali Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150129001212 TN Practitioner - Nurse Practitioner 9830310879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

1115 B Dow St
Murfreesboro, TN 37130-2487
Phone (615) 896-6996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
17181TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC CurrentSince May 1, 2021 Accepting new patients

Locations

5653 Frist Blvd
Ste 530
Hermitage, TN 37076
Phone (615) 885-1110

920 S Hartmann Dr
Ste 310
Lebanon, TN 37090

660 S Mount Juliet Rd
Ste 220
Mt Juliet, TN 37122

1115B Dow St
Murfreesboro, TN 37130
Phone (615) 896-6996

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1992040646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115B DOW ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302487",
            "telephone_number": "615-896-6996",
            "fax_number": "615-896-6985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hartmann Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904137",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 S Mount Juliet Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223920",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5653 Frist Blvd Ste 530",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762067",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABAN",
        "first_name": "SHAZMA",
        "credential": "RN, MSN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "17181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAZMA",
            "last_name": "ALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.