SHELLEY MORELAND FNP-C NPI 1073974556

NPI Information

NPI: 1073974556
Provider Name: SHELLEY MORELAND, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2660 10TH AVE S
#610
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 933-2691
Get Directions

Shelley Moreland, FNP-C is a family nurse practitioner in Birmingham, AL. Shelley Moreland, FNP-C NPI is 1073974556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2660 10TH AVE S
#610
BIRMINGHAM, AL
ZIP 35205-605
Phone: (205) 933-2691
Fax: (205) 933-2350

The NPI 1073974556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 7/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-111866	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1538255922	MEDICAID	ALABAMA
2	5465	OTHER	ALABAMA	CRNP RX NUMBER
3	1-111866	OTHER	ALABAMA	RN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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