Healthcare Provider Details

I. General information

NPI: 1164386827
Provider Name (Legal Business Name): SHOEMAKER EXPRESS CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 N MAIN ST
ASHLAND CITY TN
37015-1306
US

IV. Provider business mailing address

PO BOX 429
ASHLAND CITY TN
37015-0429
US

V. Phone/Fax

Practice location:
  • Phone: 615-821-2273
  • Fax: 615-412-2053
Mailing address:
  • Phone: 615-821-2273
  • Fax: 615-412-2053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATRINA SHOEMAKER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 615-792-2280