MRS. SHANQUAIL DARNYSSE HORTON


Address: 11889 Glen Ridge Blvd, Moundville, AL 35474-6368
Phone: 2055617724

MRS. SHANQUAIL DARNYSSE HORTON (NPI# 1861815425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861815425
Entity Type Individual
Full Name MRS. SHANQUAIL DARNYSSE HORTON
Credential CRNP
Practice Address 11889 Glen Ridge Blvd
Moundville
AL 35474-6368
Practice Telephone 2055617724
Mailing Telephone 2055617724
Enumeration Date 2014-01-31
Last Update Date 2014-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 1-127996 AL Nursing Service Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
2013015363 AL Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2013015363 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11889 GLEN RIDGE BLVD
City MOUNDVILLE
State AL
Zip Code 35474-6368

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NPI Name Taxonomy Address Enumeration
1730655846 Restore Therapy Services, Ltd. Physical Therapist 40890 Alabama Highway 69, Moundville, AL 35474 2018-10-16
1285046110 Andrea Brown Stringfellow Nurse Practitioner 16063 Alabama Highway 69, Moundville, AL 35474 2014-05-27
1700211745 Encore Rehabilitation, Inc. Clinic/Center 50 Wildcat Way, Moundville, AL 35474 2013-09-10
1013032648 Moundville Medical Plaza Inc. Pharmacist 16061 Hwy 69 South, Moundville, AL 35474 2007-03-20
1831139898 Moundville Health and Rehabilitation, LLC Skilled Nursing Facility 121 Union St, Moundville, AL 35474 2006-06-07
1760472674 Heather Phillips Whitley Pharmacist 16063 Hwy 69 South, Moundville Medical Center, Moundville, AL 35474 2005-10-24
1093125874 Rachel Phillips Occupational Therapist 306 Washington St, Livingston, AL 35474 2014-05-02
1427482389 Francis J Woods Iv Physical Therapist 121 Union St, Moundsville, AL 35474 2013-08-28
1649458605 Dr Larry O Skelton Md PC Nurse Practitioner 16063 Hwy 69 South, Moundville, AL 35474 2008-02-01
1942382908 Clifford Allen Harland Jr. Pharmacist 16061 Hwy 69 S Moundville Medical Plaza, Moundville, AL 35474-0551 2006-10-19
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1780239160 Amy Black Nurse Practitioner 10420 Reva Rd N, Chunchula, AL 36521-3330 2019-08-02
1437613031 Lynsey Smith Nurse Practitioner 121 N 20th St Ste 2, Opelika, AL 36801-5409 2019-01-28
1780169037 Kathleen Kimbrough Shields Nurse Practitioner 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 2018-10-02
1235635780 Ruoting Wei Nurse Practitioner Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 2018-04-03
1326555780 Brittany Michelle Bowen Nurse Practitioner 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 2018-01-08
1598280984 Kimberly Sue Johnson Nurse Practitioner 1201 7th St Se Ste 120, Decatur, AL 35601-3337 2017-08-07
1427571389 Sonya K Hicks Nurse Practitioner 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 2017-07-24
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Competitor

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City MOUNDVILLE
Zip Code 35474

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Dataset Information

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.

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