MRS. JACKIE ROSE SHUMATE (NPI# 1558600221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558600221 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE ROSE SHUMATE |
| Credential | NP-C |
| Practice Address |
4126 Carmichael Ct Montgomery AL 36106 |
| Mailing Address |
4126 Carmichael Ct Montgomery AL 36106-2871 |
| Practice Telephone | 3344952600 |
| Practice Fax Number | 3344952604 |
| Mailing Telephone | 3344952600 |
| Mailing Fax Number | 3344952604 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-122477 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4163 Lomac St, Montgomery, AL 361062881 | 3343965570 | 3343965572 |
| 4126 Carmichael Ct, Montgomery, AL 36106 | 3344952600 | 3344952604 |
| Street Address |
4126 CARMICHAEL CT |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962475020 | William Penn White IIi | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2006-02-09 |
| 1841832839 | Mary Katherine Parker | Nurse Practitioner | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2019-10-11 |
| 1871934984 | Ashley Carnley Morrow | Nurse Practitioner | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2013-07-17 |
| 1306070818 | Heather Echols | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2009-05-12 |
| 1487612578 | Nina Patrice Nelson-garrett | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2006-05-01 |
| 1073587523 | Capital City Gastroenterology, PC | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2006-02-13 |
| 1538132170 | Mark M Anderson | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on MRS. JACKIE ROSE SHUMATE.
| 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.