Individual Healthcare Provider
Shauna Samuel, MSN, APRN, FNP-C
Provider's NPPES record last updated: September 2, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053898163
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Mcminnville, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:06 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Internal Medicine
Nephrology
Allopathic & Osteopathic Physicians
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Taxonomy code 207RN0300XPediatrics
Pediatric Nephrology
Allopathic & Osteopathic Physicians
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Taxonomy code 2080P0210X
Provider-Reported License Information
- Nurse Practitioner (Tennessee)
- 24506
- Internal Medicine (Tennessee)
- 24506
- Pediatrics (Tennessee)
- 24506
Practice Locations
Practice Location
1514 Sparta St
Mcminnville, Tennessee 37110
Phone: (931) 473-8400
Additional Practice Location
427 N Willow Ave Ste C
Cookeville, Tennessee 38501-2354
Phone: (931) 559-5959
Fax: (833) 992-2327
Record Information
- Enumeration Date
- July 21, 2018
- Provider's NPPES Record Last Updated
- September 2, 2025
- Certification Date
- September 2, 2025
- NPISignal NPPES Dataset
- August 2026
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