SHELLIE ROSE BUTLER FNP NPI 1033898416

NPI Information

  • NPI: 1033898416
  • Provider Name: SHELLIE ROSE BUTLER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 779 HIGHWAY 63 STE 1
    CUMBERLAND GAP, TN
    ZIP 37724
  • Phone: (423) 919-9886

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NPI Details

Shellie Rose Butler, FNP is a family nurse practitioner in Cumberland Gap, TN. Shellie Rose Butler, FNP NPI is 1033898416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

779 HIGHWAY 63 STE 1
CUMBERLAND GAP, TN
ZIP 37724-116
Phone: (423) 919-9886
Fax: (423) 919-9887

The NPI 1033898416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2023 and was last updated on 5/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care34156TENNESSEENo
2363LF0000XNurse PractitionerFamily34156TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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