SHAUNDA ELYSE KELLY (NPI# 1659540508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659540508 |
| Entity Type | Individual |
| Full Name | SHAUNDA ELYSE KELLY |
| Credential | MD, DMD |
| Practice Address |
2000 6th Ave S Birmingham AL 35233-2110 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059349999 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5395 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 051118219 | 01 |
| AL | 130497 | 05 | |
| AL | 130494 | 05 | |
| AL | 130495 | 05 | |
| AL | VIVA | Z17060 | 01 |
| AL | BCBS | 051118223 | 01 |
| AL | BCBS | 051118226 | 01 |
| AL | 130492 | 05 | |
| AL | BCBS | 051118221 | 01 |
| AL | 130496 | 05 | |
| MS | 01281210 | 05 | |
| AL | BCBS | 051118224 | 01 |
| Street Address |
2000 6TH AVE S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705057 | Lisa Ann Weldon | Pharmacist | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2005-07-29 |
| 1417558446 | Meghan Ashley Simmons | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-11-05 |
| 1144843178 | Mary Danner Harmon | Physician Assistant | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-05-26 |
| 1144840851 | Rebecca Maxson | Pharmacist | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-04-22 |
| 1851911093 | Sandra Woodard | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-04-17 |
| 1396372256 | Laura Strevel | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-03-23 |
| 1801420203 | Jordan Barksdale | Nurse Practitioner | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-02-25 |
| 1992341374 | Cristina Bonner Reaves | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-11-21 |
| 1023653078 | Abigail Rieger Mccrory | Nurse Practitioner | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-11-14 |
| 1194368464 | Heather Lee Burnett Lipscomb | Nurse Practitioner | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| 1063506533 | Harold Newton Burton | Dentist | 1771 Independence Court, Suite 2, Birmingham, AL 35216 | 2006-10-02 |
| 1982719639 | William Pettus Buck Jr. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2006-08-21 |
| 1578677233 | Christopher Michael Rothman | Dentist | 2290 Valleydale Road, Suite 100, Birmingham, AL 35244-2011 | 2006-08-19 |
| 1669441333 | Dennis Dale Carr | Dentist | 101 Heatherbrooke Park Dr, Birmingham, AL 35242-8008 | 2006-03-16 |
| 1497739494 | Jon D Holmes | Dentist | 1500 19th St S, Suite 200, Birmingham, AL 35205-5628 | 2005-12-02 |
| 1811979719 | Jonathon Henning Anderson | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009-6618 | 2005-11-16 |
| 1881236883 | Blake Phillips D.m.d., P.C. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2019-10-10 |
| 1003378274 | Ryan Chase Seeley | Dentist | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2019-04-04 |
| 1598255044 | Birmingham Oral & Maxillofacial Surgery, Plc | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009 | 2018-05-10 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
Please comment or provide details below to improve the information on SHAUNDA ELYSE KELLY.
| 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.