LYDIA FOSTER DOUBET SHULL (NPI# 1316392533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316392533 |
| Entity Type | Individual |
| Full Name | LYDIA FOSTER DOUBET SHULL |
| Credential | CRNP |
| Practice Address |
1425 Weatherly Rd Se Huntsville AL 35803 |
| Mailing Address |
3442 Us Highway 431 Albertville AL 35950-0203 |
| Practice Telephone | 2568811111 |
| Practice Fax Number | 2568812228 |
| Mailing Telephone | 2565931234 |
| Mailing Fax Number | 2565936781 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-136737 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 129594 | 05 |
| Street Address |
1425 WEATHERLY RD SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578518031 | Gorantla Subba Rao | Internal Medicine | 1425 Weatherly Rd Se, Huntsville, AL 35803-1178 | 2006-05-23 |
| 1114263746 | G.s,rao,m.d,p.c | Clinic/Center | 1425 Weatherly Rd Se, Huntsville, AL 35803-1178 | 2013-01-01 |
| 1750604633 | Smitha Rao Persaud, M.d., L.L.C. | Psychiatry & Neurology | 1425 Weatherly Rd Se, Huntsville, AL 35803-1178 | 2010-03-08 |
| 1770629131 | Smitha Rao Persaud | Psychiatry & Neurology | 1425 Weatherly Rd Se, Huntsville, AL 35803-1178 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205358132 | Madison Elizabeth Malone | Student in an Organized Health Care Education/Training Program | 11019 Everest Circle, Huntsville, AL 35803 | 2017-07-12 |
| 1023493509 | Christopher M O'barr | Nurse Practitioner | 2604 Quail Ridge Lane Sw, Huntsville, AL 35803 | 2015-07-24 |
| 1063655959 | Richard Rollin Thornton | Obstetrics & Gynecology | 713 Halstead Court, Huntsville, AL 35803 | 2009-04-08 |
| 1538280334 | Debra Lynn Means | Nurse Practitioner | Walmart 11610 South Memorial Parkway, Huntsville, AL 35803 | 2007-04-02 |
| 1104894963 | Mary Elizabeth Barry | Nurse Practitioner | 10300 Bailey Cove Rd Se Ste 13, Huntsville, AL 35803 | 2006-03-09 |
| 1023094042 | Hospice Family Care | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2005-12-21 |
| 1134120553 | Robert L Hash II | Neurological Surgery | 10000 Serenity Lane S.e., Huntsville, AL 35803 | 2005-08-09 |
| 1427571157 | Hh Health System - Caring for Life | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2017-07-25 |
| 1912428384 | Coker Eye Care, LLC | Optometrist | 2235 National Blvd Sw, Huntsville, AL 35803 | 2017-07-06 |
| 1316350093 | Kathryn Jumper | Physical Therapist | 927 Franklin Street, Huntsville, AL 35803 | 2014-06-10 |
| Find all providers in zip 35803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1881211647 | Ciara Whitt | Nurse Practitioner | 26 Maple Grove Blvd Sw, Huntsville, AL 35824-4005 | 2020-06-28 |
| 1275158289 | Lynda Jean Masco | Nurse Practitioner | 807 Tannahill Dr Se, Huntsville, AL 35802-1935 | 2020-06-15 |
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1497387229 | Mary Anne Tessitore | Nurse Practitioner | 193 Interstate 45 S, Huntsville, TX 77340-4256 | 2020-02-10 |
| 1790324424 | Ashley Froscello I | Nurse Practitioner | 610 Airport Rd Sw # 210, Huntsville, AL 35802-4304 | 2019-12-28 |
| 1811546237 | Jennifer Congdon | Nurse Practitioner | 264 Fm 3478, Huntsville, TX 77320 | 2019-09-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35803 |
Please comment or provide details below to improve the information on LYDIA FOSTER DOUBET SHULL.
| 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.