Shelby Williford, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29277 Issued in TN

Practice address

7018 La Christa Way
Knoxville, TN 37921-2154

Phone

(865) 254-3306

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Bond Former name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chuc, LLCGroup PAC ID 3375505134, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Chuc, LLC

  • Urgent Care Clinic/Center
  • Alcoa, TN
  • NPI 1396777595
  Medicare reassignment Care Compare group
• DX Mso, PLLC

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154
  NPD (past)
• Chuc, LLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1164310520
  NPD (past)
• Chuc, LLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1588539118
  NPD (past)
• Chuc, LLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1790538544
  NPD (past)
• Afc Urgent Care and Family Care of WNC, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1679066658
  NPD (past)

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1992387351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 LA CHRISTA WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 LA CHRISTA WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212154",
            "telephone_number": "865-254-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7234 Tazewell Pike",
            "address_purpose": "LOCATION",
            "city": "Corryton",
            "state": "TN",
            "postal_code": "377213550",
            "country_code": "US",
            "telephone_number": "865-213-7132",
            "fax_number": "865-213-7133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "SHELBY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "BOND",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Anne Williamson, MA, CCC-SLP
• Kara Danielle-Owenby Williamson, FNP-C
• Kimberly Williamson, M.S.
• McKenzie Williamson, OTR/L
• Williem R. Kelley DCPC
• Victoria Nicole Willingham, MS, CGC
• Britney Michelle Willis, RBT
• Chandler Willis, RD, LDN
• Charissa Holt Willis, NP
• Randall Matthew Willis, MD

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, 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 Mar 8, 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.
• 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.

Verify at the official NPI Registry.