Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanna Jade Hall

Individual provider Family Nurse Practitioner · NPI 1790268530

Shanna Jade Hall is a Nurse Practitioner in Grethel, Kentucky. Qualified in 2018, 8 years ago. Practices with Big Sandy Health Care, Inc, a 52-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018

Practice location Address checks out

7629 Ky Route 979
Grethel, KY 41631-6304
Phone: (606) 587-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3012657 (KY)

Record details

NPI number1790268530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2018
Last updated in NPPESSeptember 7, 2018
Mailing address1709 Ky Route 321, Prestonsburg, KY 41653-9097

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Big Sandy Health Care, Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grethel