SHELBY S WARREN (NPI# 1598381097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598381097 |
| Entity Type | Individual |
| Full Name | SHELBY S WARREN |
| Credential | NP |
| Practice Address |
4410 Watermelon Rd Northport AL 35473-5204 |
| Mailing Address |
13992 Prince William Way Northport AL 35475-3479 |
| Practice Telephone | 2053451520 |
| Practice Fax Number | 2053451761 |
| Mailing Telephone | 2053938148 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-162188 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953384 | Shelby Dunn Warren | Counselor | 3106 S Memorial Dr, Greenville, NC 27834-6765 | 2020-08-20 |
| Street Address |
4410 WATERMELON RD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669430872 | Karen Dietrich Walker | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-05-04 |
| 1619462843 | Alicia O Holloway | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2018-06-29 |
| 1821482464 | Adam Richardson | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2015-03-21 |
| 1770993198 | Emily Gant Watson | Nurse Practitioner | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2014-05-07 |
| 1912267550 | Staci Brown Hardwick | Nurse Practitioner | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2012-05-16 |
| 1154331791 | Cynthia C Lucy | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-08-08 |
| 1114968443 | Michael L Johnson | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-09 |
| 1265472195 | Robert D Griffith | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-08 |
| 1275573107 | Charles E Gambla | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-08 |
| 1710928296 | David B Jackson | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432568 | Jacqueline Elaine White | Nurse Practitioner | 3105 31st Ave, Northport, AL 35476-5240 | 2020-06-22 |
| 1164042586 | Ashleigh Nicole Morris | Nurse Practitioner | 800 Energy Center Blvd Apt 3109, Northport, AL 35473-2732 | 2020-04-26 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1881046647 | Sharon Ann Hawkins | Nurse Practitioner | 11401 Saint James Ct, Northport, AL 35475-4430 | 2016-07-05 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1356612873 | David Clark Bailey Jr. | Nurse Practitioner | 2810 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2012-01-13 |
| 1124113394 | Susanne Mills Snider | Nurse Practitioner | 2810 Lurleen Wallace Blvd, Northport, AL 35476-3249 | 2006-10-04 |
| 1417953092 | Mary Anne Dumas | Nurse Practitioner | Nurse Practitioner, Yellow Primary Care Clinic, Vamc, 76 Middleville Road, Northport, NY 11743 | 2005-06-28 |
| 1790398469 | Shelby Leanne Bowden | Nurse Practitioner | 1325 Mcfarland Blvd Ste 204, Northport, AL 35476-3275 | 2020-08-24 |
| 1366064487 | Anna Fuller Spence | Nurse Practitioner | 1116 Mitt Lary Rd, Northport, AL 35475-4978 | 2020-05-12 |
| Find all providers in NORTHPORT | ||||
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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.