Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanell Sylrose Wade-Johnson, APRN

Individual provider Family Nurse Practitioner · NPI 1639761620

Shanell Sylrose Wade-Johnson, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Have a Heart Foundation Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 562-4060
Fax: (502) 457-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 E Broadway Ste 100, Louisville, KY 40202-1745 — (502) 245-0002

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3015778 (KY)

Record details

NPI number1639761620
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Have A Heart Foundation Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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