SHENELLA LATOSHA CARLISLE (NPI# 1235641267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235641267 |
Entity Type | Individual |
Full Name | SHENELLA LATOSHA CARLISLE |
Credential | CRNP |
Practice Address |
550 Ponderosa Dr Camden AL 36726-2313 |
Mailing Address |
Po Box 231396 Montgomery AL 36123-1396 |
Practice Telephone | 3342138803 |
Mailing Telephone | 3342138803 |
Mailing Fax Number | 3342138815 |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1121592 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
550 PONDEROSA DR |
City | CAMDEN |
State | AL |
Zip Code | 36726-2313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356441257 | Camden Nursing Facility Inc | Nursing Care | 550 Ponderosa Dr, Camden, AL 36726-0787 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679639538 | William Robertson Phillipi Jr. | Dentist | 340 Earl Street, Camden, AL 36726 | 2006-12-28 |
1235299959 | Hometown Hospice of Camden Inc | Hospice Care, Community Based | 221 Claiborne Street, Camden, AL 36726 | 2006-12-11 |
1508925694 | Medcare Emergency Medical Services, Inc. | Ambulance | 317b Mcwilliams Ave, Camden, AL 36726 | 2006-12-06 |
1063480812 | J. Paul Jones Home Health | Home Health | 319a Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-09 |
1477520526 | J. Paul Jones Hospital | General Acute Care Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
1427025576 | J. Paul Jones Hospital Board Wilcox Medical Clinic | Clinic/Center | 319 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
1497071575 | J. Paul Jones Hospital | Clinic/Center | 319 Mcwilliams Ave, Camden, AL 36726-1610 | 2010-04-14 |
1659604924 | Camden Homecare, LLC | Home Health | 319a Mcwilliams Ave, Camden, AL 36726-1610 | 2009-09-17 |
1588767222 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7 Camden Byp, Camden, AL 36726-1707 | 2006-09-07 |
1679728109 | Medical Equipment of Camden | Durable Medical Equipment & Medical Supplies | 208 Claiborne St, Camden, AL 36726-1714 | 2008-11-25 |
Find all providers in zip 36726 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
1174030001 | Jessica Ann Donaldson | Nurse Practitioner | 9562 State Route #13, Camden, NY 13316-4940 | 2017-12-31 |
1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
Find all providers in CAMDEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.