DIABETES AND WELLNESS CLINIC OF THE SHOALS (NPI# 1255892865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255892865 |
Entity Type | Organization |
Organization Name | DIABETES AND WELLNESS CLINIC OF THE SHOALS |
Practice Address |
1110 E 6th St Suite E Muscle Shoals AL 35661 |
Mailing Address |
114 Chappell Rd Muscle Shoals AL 35661-3650 |
Practice Telephone | 2568564059 |
Enumeration Date | 2019-03-27 |
Last Update Date | 2019-03-27 |
Authorized Official Name | THADDEUS JASON BOUGHTON (OWNER) |
Authorized Official Telephone | 2568564059 |
Authorized Official Credential | CRNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1110 E 6TH ST SUITE E |
City | MUSCLE SHOALS |
State | AL |
Zip Code | 35661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205354222 | Life Counseling Center, LLC | Clinic/Center | 100 Alabama Ave., Suite C, Muscle Shoals, AL 35661 | 2017-08-30 |
1558884569 | Roger Eugene Jarrell | Pharmacist | 517 W. Avalon Ave, Walmart Pharmacy, Muscle Shoals, AL 35661 | 2017-07-21 |
1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
1265813802 | Brittany Johnson Sutton | Physical Therapy Assistant | 200 Alabama Avenue, Muscle Shoals, AL 35661 | 2015-06-09 |
1538566013 | Procare Physical Therapy | Physical Therapist | 322 Lonnie Dr., Muscle Shoals, AL 35661 | 2014-11-26 |
1972919165 | Erica Conley | Nurse Practitioner | 210 Avalon Ave, Muscle Shoals, AL 35661 | 2014-07-08 |
1205260254 | Donnella Tenn | Occupational Therapy Assistant | 200 Alabama Street, Muscle Shoals, AL 35661 | 2013-08-27 |
1043553357 | Thaddeus Jason Boughton | Nurse Practitioner | 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 | 2013-04-04 |
1629312301 | Sarah Blaylock | Occupational Therapist | 200 Alabama Ave, Muscle Shoals, AL 35661 | 2012-11-19 |
1003049016 | Family Health Care Clinic, Inc | Clinic/Center | 102 Physicians Dr, Suite B, Muscle Shoals, AL 35661 | 2009-08-25 |
Find all providers in zip 35661 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063987113 | Options Wellness Center, LLC | Clinic/Center | 1005 Avalon Ave, Muscle Shoals, AL 35661-2401 | 2018-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
Find all providers with the same taxonomy |
City | MUSCLE SHOALS |
Zip Code | 35661 |
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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.