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Mellissa Shaw, LPN
NPI 1659690436 · Licensed Practical Nurse · Johnson City, TN
Mellissa Shaw, LPN is a Licensed Practical Nurse provider in Johnson City, TN (NPI 1659690436).
Provider details
- NPI number
- 1659690436
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 75455 (TN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 Buffalo St
Johnson City, TN 37604-6720
Phone: (423) 232-4130
Fax: (423) 467-3644
Street-level locationGet directions
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Registry dates
- Enumerated
- 2010-05-19
- Last updated
- 2010-05-19
Frequently asked questions
- What is Mellissa Shaw's NPI number?
- Mellissa Shaw's National Provider Identifier (NPI) is 1659690436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mellissa Shaw's specialty?
- Mellissa Shaw is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Mellissa Shaw located?
- Mellissa Shaw's practice location on file with NPPES is 900 Buffalo St, Johnson City, TN 37604-6720.
- What is Mellissa Shaw's phone number?
- The practice phone number listed in the NPPES registry for Mellissa Shaw is (423) 232-4130.
- Is Mellissa Shaw's NPI active?
- Yes — Mellissa Shaw's NPI (1659690436) is active in the NPPES registry as of the last update on 2010-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.