MR. SHANE CLINTON WILLIAMON I (NPI# 1881920353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881920353 |
| Entity Type | Individual |
| Full Name | MR. SHANE CLINTON WILLIAMON I |
| Credential | CRNP |
| Practice Address |
901 Keith Avenue Anniston AL 36202 |
| Mailing Address |
P.o. Box 1890 Anniston AL 36203 |
| Practice Telephone | 2562368611 |
| Practice Fax Number | 2562368636 |
| Mailing Telephone | 2562368611 |
| Mailing Fax Number | 2562368636 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-078396 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 KEITH AVENUE |
| City | ANNISTON |
| State | AL |
| Zip Code | 36202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356517916 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 901 Keith Avenue, Anniston, AL 36207 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088716 | Coosa River Emergency Physicians, Pllc | Emergency Medicine | 400 E 100th Street, Anniston, AL 36202 | 2012-06-19 |
| 1841487899 | Stephanie Reaves Huie | Counselor | 7 East 13 Street, Suite 227, Anniston, AL 36202 | 2007-10-03 |
| 1225228372 | Lafredia F. Taylor | Counselor | 1621 Leighton Ave, Anniston, AL 36202 | 2007-07-25 |
| 1619492980 | Luke Ford | Physical Therapist | 731 Leighton Ave., P.o. Box 2208, Anniston, AL 36202-2208 | 2017-08-08 |
| 1346676673 | Js Phymgmt Corp | Legal Medicine | 400 E 10th St, Radiation Oncology Dept, Anniston, AL 36202-4716 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625751 | Tnm Social Services Consulting | Public Health or Welfare | 827 Morton Rd, Anniston, AL 36205-3438 | 2020-10-06 |
| 1952908626 | Matrix Labs | Clinical Medical Laboratory | 4100 Mcclellan Blvd Ste 102, Anniston, AL 36201-2132 | 2020-10-06 |
| 1639785546 | Professional Edge Nursing, Inc | Military Health Care Provider | 600 Mary Lane, Anniston, AL 36207 | 2020-09-17 |
| 1265044994 | Pinnacle Research Group, LLC | Specialist | 321 E 10th St, Anniston, AL 36207-5707 | 2020-08-24 |
| 1154932846 | Kaitlyn Nicole Parris | Student in an Organized Health Care Education/Training Program | 1053 White Plains Rd, Anniston, AL 36207-0435 | 2020-08-14 |
| 1154930758 | Reach Kidney Care LLC | Case Management | 801 Noble St Ste 310, Anniston, AL 36201-5698 | 2020-07-29 |
| 1780200493 | Gem Footcare Solutions, LLC | Durable Medical Equipment & Medical Supplies | 301 S Quintard Ave, Anniston, AL 36201-6071 | 2020-06-18 |
| 1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
| 1073138152 | Leslie Cunningham | Counselor | 1436 Nocoseka Trl Apt B4, Anniston, AL 36207-6720 | 2020-06-15 |
| 1982229431 | Southern Sleep Diagnostics | Otolaryngology | 1113 Christine Ave, Anniston, AL 36207-4657 | 2020-06-10 |
| Find all providers in ANNISTON | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154833531 | Amy Kathryn Holley | Nurse Practitioner | 901 Leighton Ave Ste 702, Anniston, AL 36207-5765 | 2017-10-25 |
| 1326548074 | Christopher Austin George | Nurse Practitioner | 400 E 10th St, Anniston, AL 36207 | 2018-02-20 |
| 1932607421 | William Mullins | Nurse Practitioner | 1900 Leighton Ave Ste 205, Anniston, AL 36207-3205 | 2018-01-30 |
| 1740796770 | Lee William Elgin IIi | Nurse Practitioner | 1700 Christine Ave, Anniston, AL 36207-3812 | 2017-12-28 |
| 1144766700 | Cristin Prater | Nurse Practitioner | 1031 Quintard Ave Ste 1a, Anniston, AL 36201-5714 | 2017-01-06 |
| 1386191112 | Pamela Dean Reaves Jackson | Nurse Practitioner | 1131 Leighton Ave, Anniston, AL 36207-4610 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 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.