KANDACE SHOULTS (NPI# 1841383585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841383585 |
| Entity Type | Individual |
| Full Name | KANDACE SHOULTS |
| Credential | CRNP |
| Practice Address |
1768 S Washington St Marion AL 36756-3406 |
| Practice Telephone | 3346839085 |
| Mailing Telephone | 3346839085 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-074326 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1768 S WASHINGTON ST |
| City | MARION |
| State | AL |
| Zip Code | 36756-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720598683 | David O Goodwin | Registered Nurse | 1768 S Washington St, Marion, AL 36756-3406 | 2017-10-05 |
| 1619371614 | Shjuan D Pickett-crockett | Nurse Practitioner | 1768 S Washington St, Marion, AL 36756-3406 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861934705 | Allen R Stata | Social Worker | 104 Edwards Drive, Marion, AL 36756 | 2016-11-09 |
| 1770600066 | Vaughan Regional Medical Center LLC | Clinic/Center | Highway 45 South, Route 2, Box 4-d, Marion, AL 36756 | 2007-03-23 |
| 1639219173 | Lora N. Mims | Nurse Practitioner | Rr 2, Box 4d, Hwy 45 S, Marion, AL 36756 | 2007-02-07 |
| 1568550721 | William Shane Lee | Family Medicine | Hwy 45 South Route 2, Marion Clinic, Marion, AL 36756 | 2006-10-11 |
| 1003910399 | David W. Gann | Dentist | 1533 Alabama Hwy. 5 South, Marion, AL 36756 | 2006-09-08 |
| 1114395852 | Ashley Wagner | Nurse Practitioner | 1303 Washington St, Marion, AL 36756 | 2015-09-11 |
| 1881777985 | Jimmy C Cleveland Sr. | Dentist | 213 Washington St, Marion, AL 36756-0235 | 2006-10-23 |
| 1376740779 | Perry County | Local Education Agency (LEA) | 200 W Monroe St, Marion, AL 36756-2228 | 2007-06-28 |
| 1215989629 | Tom S. Alsabrook | Counselor | 104 Edwards St, Marion, AL 36756-2304 | 2006-05-16 |
| 1265750582 | Robert Wayne Williams | Counselor | 104 Edwards St, Marion, AL 36756-2304 | 2010-05-11 |
| Find all providers in zip 36756 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083175848 | Lisa Renee Bridges | Nurse Practitioner | 423 Magnolia St, Marion, AR 72364-2811 | 2019-03-26 |
| 1750857264 | Shelby Meyer | Nurse Practitioner | 3701 Katz Dr, Marion, IA 52302-3871 | 2018-10-23 |
| 1851837579 | Charity Will | Nurse Practitioner | 2401 W Main St, Marion, IL 62959-1188 | 2017-01-19 |
| 1982736757 | Jaynette D Miller | Nurse Practitioner | 535 S Freeborn St, Marion, KS 66861-1256 | 2007-03-09 |
| 1093749343 | Jacqueline Laraway | Nurse Practitioner | 245 Medical Park Dr, First Floor, Marion, VA 24354-1100 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.