MRS. HALA SHAMA MOURTADA (NPI# 1417372509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417372509 |
| Entity Type | Individual |
| Full Name | MRS. HALA SHAMA MOURTADA |
| Other Name | MRS. HALA SHAMA |
| Credential | FNP-BC |
| Practice Address |
6213 Shannon Brook Lane Oxford AL 36203 |
| Practice Telephone | 2563710084 |
| Mailing Telephone | 2563710084 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 1-123194 | AL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-123194 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6213 SHANNON BROOK LANE |
| City | OXFORD |
| State | AL |
| Zip Code | 36203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371375 | Brittany Mcevoy | Registered Nurse | 1477 Taylors Chapel Road, Oxford, AL 36203 | 2019-11-22 |
| 1154978500 | Anthony Quandrez Mckinney | Technician | 602 Lane Road, Oxford, AL 36203 | 2019-08-21 |
| 1619467289 | Carey Dillard Hill | Optometrist | Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 | 2018-05-18 |
| 1477084051 | Betsy Brittain Brittain | Speech-Language Pathologist | 1130 South Hale Street, Oxford, AL 36203 | 2017-03-24 |
| 1427504760 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 50 Commons Way, Suite D, Oxford, AL 36203 | 2016-08-28 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1831389832 | Natalie M Lindell | Internal Medicine | 6 Allen Parkway, Oxford, AL 36203 | 2007-07-26 |
| 1467679480 | Physicians Choice Dialysis of Oxford, LLC | Clinic/Center | 711 Snow Street, Oxford, AL 36203 | 2007-04-19 |
| 1720136443 | Keel and Associates | General Practice | 1612 Highway 78 East, Suite 100, Oxford, AL 36203 | 2007-01-08 |
| 1083777593 | Patrick A Bernardi Dmd Ms PC | Dentist | 227 Choccolocco Str, Oxford, AL 36203 | 2006-12-18 |
| Find all providers in zip 36203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632716 | Oxford Specialty Clinic | Nurse Practitioner | 1205 Office Park Dr, Oxford, MS 38655-3545 | 2020-09-01 |
| 1659994044 | Christopher Killis Scruggs | Nurse Practitioner | 132 Yocona Ridge Rd, Oxford, MS 38655-6904 | 2020-05-20 |
| 1164062105 | Sarah Marie Fitzpatrick | Nurse Practitioner | 1070 Brookside Ct, Oxford, MI 48371-6055 | 2020-01-07 |
| 1710522198 | Laura Nicole Kelleway | Nurse Practitioner | 23 County Road 205, Oxford, MS 38655-9794 | 2019-11-09 |
| 1780225441 | Lija Turaida Moncrieff-austin | Nurse Practitioner | 500 E Peninsula Ct, Oxford, MI 48371-3669 | 2019-10-03 |
| 1861044026 | Mirian Thiruchendru | Nurse Practitioner | 72 S Washington St Ste 102, Oxford, MI 48371-6421 | 2019-07-09 |
| 1649752312 | Aubrey Michelle Mcintosh | Nurse Practitioner | 904 Crestmoor Dr, Oxford, MI 48371-4870 | 2018-08-30 |
| 1760969208 | Tina Gail Bryan | Nurse Practitioner | 7 County Road 469, Oxford, MS 38655-8279 | 2018-07-27 |
| 1699277509 | Lindsey Wall Hemphill | Nurse Practitioner | 45 County Road 277, Oxford, MS 38655-8739 | 2018-03-06 |
| 1023527017 | Katherine Waters | Nurse Practitioner | 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 | 2017-09-22 |
| Find all providers in OXFORD | ||||
Please comment or provide details below to improve the information on MRS. HALA SHAMA MOURTADA.
| 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.