SHELBY NICOLE SULLIVAN (NPI# 1588165559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588165559 |
| Entity Type | Individual |
| Full Name | SHELBY NICOLE SULLIVAN |
| Credential | CRNP |
| Practice Address |
156 E 15th Ave Gulf Shores AL 36542-3516 |
| Mailing Address |
14100 River Rd Unit 337c Pensacola FL 32507-9647 |
| Practice Telephone | 2519484290 |
| Practice Fax Number | 2519487682 |
| Mailing Telephone | 2519484290 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-163834 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407354087 | Shelby Lynne Sullivan | Nurse Anesthetist, Certified Registered | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-01-29 |
| 1851503999 | Shelby A Sullivan | Internal Medicine | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2007-05-03 |
| Street Address |
156 E 15TH AVE |
| 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 |
| 1255887626 | Kari Kathrine O'neal | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2016-08-26 |
| 1376996975 | Lucretia Shedeck | Radiologic Technologist | 156 E 15th Ave, Suite 3, Gulf Shores, AL 36542-3516 | 2016-07-19 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780981159 | Nicole M Bodine | Nurse Practitioner | 1700 W 2nd St, Gulf Shores, AL 36542-3422 | 2011-02-22 |
| 1700198132 | Alycia Marie Kapiotis | Nurse Practitioner | 7293 Roscoe Rd, Gulf Shores, AL 36542 | 2010-07-14 |
| 1558863480 | Maranda Fleming Mccoy | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2018-03-07 |
| 1124543798 | Jerry Wayne Barton Jr. | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2017-08-04 |
| 1871029991 | Michael Hall | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2017-05-10 |
| 1255887626 | Kari Kathrine O'neal | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2016-08-26 |
| 1053711911 | Erin Dewrell Prendergast | Nurse Practitioner | 1700 W 2nd St, Gulf Shores, AL 36542-3422 | 2014-08-28 |
| 1144665597 | Lisa Ellen Smith | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2013-04-29 |
| 1568752350 | Lauren Taylor Bodenhamer | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | GULF SHORES |
| Zip Code | 36542 |
Please comment or provide details below to improve the information on SHELBY NICOLE SULLIVAN.
| 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.