Stephanie Stapleton Shults, M.D.
Pediatrics in Knoxville, TN. Individual provider (NPI-1).
NPI number1013086735
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1013086735
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie Stapleton Shults
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2006
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 24906 | TN | Yes |
| 174400000X | Specialist | 24906 | TN |
Practice location
9142 S Northshore DrKnoxville, TN 37922-6325
Phone 865-670-1560 · Fax 865-670-1862
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 865-670-1862
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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