MRS. SHERILYN MICHELLE DONNELLY (NPI# 1689911414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689911414 |
| Entity Type | Individual |
| Full Name | MRS. SHERILYN MICHELLE DONNELLY |
| Credential | NP-C |
| Practice Address |
24980 State St Elberta AL 36530-2573 |
| Mailing Address |
Po Box 519 Elberta AL 36530-0519 |
| Practice Telephone | 2519867301 |
| Practice Fax Number | 2519865927 |
| Mailing Telephone | 2519867301 |
| Mailing Fax Number | 2519865927 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-123490 | AL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-123490 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24980 STATE ST |
| City | ELBERTA |
| State | AL |
| Zip Code | 36530-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836802 | Carolyn Faircloth Holman | Nurse Practitioner | 24980 State St, Po Drawer 519, Elberta, AL 36530-2573 | 2006-01-20 |
| 1407321094 | Lindsay Pieper | Nurse Practitioner | 24980 State St, Elberta, AL 36530-2573 | 2018-10-10 |
| 1588752844 | Elberta Clinic, PC | Internal Medicine | 24980 State St, Po Drawer 519, Elberta, AL 36530-2573 | 2006-10-11 |
| 1710071873 | Elberta Pharmacy, Inc. | Pharmacy | 24980 State St, Elberta, AL 36530-0670 | 2006-10-03 |
| 1982710760 | Robert L Roe | Family Medicine | 24980 State St, Po Drawer 519, Elberta, AL 36530-2573 | 2006-08-22 |
| 1033162862 | Takl Corporation | Durable Medical Equipment & Medical Supplies | 24980 State St, Ste 4, Elberta, AL 36530-2573 | 2006-05-19 |
| 1144200510 | Terry A Kurtts | Family Medicine | 24980 State St, Po Drawer 519, Elberta, AL 36530-2573 | 2006-01-20 |
| 1376523753 | Joseph P Walsh | Family Medicine | 24980 State St, Po Drawer 519, Elberta, AL 36530-2573 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871836858 | Debra Lynn Russell | Nurse Practitioner | 24980 State Street, Po Drawer 519, Elberta, AL 36530 | 2013-03-28 |
| 1790009652 | Rucer Lewis Staggers | Family Medicine | 6666 Shore Drive, Elberta, AL 36530 | 2010-03-22 |
| 1154552826 | Rachael Mueller | Behavioral Analyst | 12786 S. Illinois St., Elberta, AL 36530 | 2009-07-29 |
| 1861537920 | Physical Therapy Specialists, Inc. | Physical Therapist | 25765 U.S. Highway 98, Elberta, AL 36530 | 2007-02-20 |
| 1740404466 | Richard Neville Leverett | Dentist | 25088 East State Street, Elberta, AL 36530-0412 | 2007-04-12 |
| 1952875494 | Karleigh Nicole Neese | Student in an Organized Health Care Education/Training Program | 24452 Old Foley Rd, Elberta, AL 36530-2522 | 2019-01-17 |
| 1942660246 | High Hopes, Inc | Behavioral Analyst | 12786 Illinois St, Elberta, AL 36530-2698 | 2016-02-29 |
| 1639656291 | Shawn Niles | Behavior Technician | 12786 Illinois St, Elberta, AL 36530-2698 | 2018-07-25 |
| 1801395702 | Roderick Theodore Hughes IIi | Behavior Technician | 12786 Illinois St, Elberta, AL 36530-2698 | 2018-02-06 |
| 1558869735 | Jessica Frank | Behavior Technician | 12786 Illinois St, Elberta, AL 36530-2698 | 2018-01-23 |
| Find all providers in zip 36530 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659734549 | Donna Susanne Heath | Nurse Practitioner | 9275 Bay Point Dr, Elberta, AL 36530-6561 | 2016-03-30 |
| 1407836802 | Carolyn Faircloth Holman | Nurse Practitioner | 24980 State St, Po Drawer 519, Elberta, AL 36530-2573 | 2006-01-20 |
| 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 | ||||
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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.