LUCRETIA SHEDECK (NPI# 1376996975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376996975 |
| Entity Type | Individual |
| Full Name | LUCRETIA SHEDECK |
| Credential | RDMS, RVT |
| Practice Address |
156 E 15th Ave Suite 3 Gulf Shores AL 36542-3516 |
| Practice Telephone | 2519480065 |
| Mailing Telephone | 2519480065 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
156 E 15TH AVE SUITE 3 |
| City | GULF SHORES |
| State | AL |
| Zip Code | 36542-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398828 | Jeanne M Birkenhauer | Family Medicine | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2006-06-02 |
| 1588165559 | Shelby Nicole Sullivan | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2018-02-26 |
| 1255887626 | Kari Kathrine O'neal | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2016-08-26 |
| 1417300013 | Allison Mulder | Radiologic Technologist | 156 E 15th Ave, Suite 3, Gulf Shores, AL 36542-3516 | 2016-07-19 |
| 1710330329 | Amber Wilhite | Radiologic Technologist | 156 E 15th Ave, Suite 3, Gulf Shores, AL 36542-3516 | 2016-07-19 |
| 1780034041 | Chelsea Petty | Radiologic Technologist | 156 E 15th Ave, Suite #3, Gulf Shores, AL 36542-3516 | 2016-06-17 |
| 1750748125 | Infinite Consulting Empire, LLC | Clinic/Center | 156 E 15th Ave, Suite 3, Gulf Shores, AL 36542-3516 | 2016-01-15 |
| 1437583127 | Brandi Eberly Wymer | Physician Assistant | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2013-08-29 |
| 1841375417 | Jeanne M Birkenhauer, M.d., P.C. | Family Medicine | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169843 | Mary P Nasello | Technician | 11352 Kelly Ln., Gulf Shores, AL 36542 | 2019-08-16 |
| 1174184915 | Luce Dental Inc. | Clinic/Center | 2025 West 1st St, Gulf Shores, AL 36542 | 2019-06-24 |
| 1699222752 | Jamie M Hayes | Pharmacist | 1527 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2016-09-07 |
| 1265854210 | Mary Edwards | Dentist | 105 West 14th Ave, Gulf Shores, AL 36542 | 2014-01-10 |
| 1629414594 | William Murray Hodge | Counselor | 1401 1st Street, Gulf Shores, AL 36542 | 2013-05-17 |
| 1669720405 | James V Shamburger, Dmd, PC | Dentist | 208 W 19th Ave, Gulf Shores, AL 36542 | 2012-08-28 |
| 1194093658 | Pamela O. Edwards | Dentist | 105 West 14th Avenue, Gulf Shores, AL 36542 | 2011-12-12 |
| 1700198132 | Alycia Marie Kapiotis | Nurse Practitioner | 7293 Roscoe Rd, Gulf Shores, AL 36542 | 2010-07-14 |
| 1699946855 | Dr. Lyle Keith Cooper | Chiropractor | 3325 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2008-03-17 |
| 1780803387 | Lucy Hazebrook | Pharmacist | 1527 Highway 59 South, Gulf Shores, AL 36542 | 2007-04-24 |
| Find all providers in zip 36542 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417300013 | Allison Mulder | Radiologic Technologist | 156 E 15th Ave, Suite 3, Gulf Shores, AL 36542-3516 | 2016-07-19 |
| 1710330329 | Amber Wilhite | Radiologic Technologist | 156 E 15th Ave, Suite 3, Gulf Shores, AL 36542-3516 | 2016-07-19 |
| 1780034041 | Chelsea Petty | Radiologic Technologist | 156 E 15th Ave, Suite #3, Gulf Shores, AL 36542-3516 | 2016-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972819787 | Donald D Dyer | Radiologic Technologist | 65 County Road 1276, Vinemont, AL 35179-6202 | 2010-08-31 |
| 1346426806 | Amanda Persaud | Radiologic Technologist | 4850 Cty Rd 10, Samson, AL 36477 | 2008-01-15 |
| 1528258928 | Salena L Mccreary | Radiologic Technologist | 307 Springhill Dr, Brewton, AL 36426-4433 | 2007-07-31 |
| 1043412349 | Sherry Lynn Williford | Radiologic Technologist | 403 4th St, Midland City, AL 36350-7452 | 2007-05-31 |
| 1629169503 | Dana T Chandler | Radiologic Technologist | 3514 Eastdale Mall Anx, Montgomery, AL 36117-2130 | 2006-09-27 |
| 1861037475 | Jsg Medical | Radiologic Technologist | 1160 Huffman Rd, Birmingham, AL 35215-7502 | 2019-11-07 |
| City | GULF SHORES |
| Zip Code | 36542 |
Please comment or provide details below to improve the information on LUCRETIA SHEDECK.
| 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.