Individual provider Active NPI

Shavonne Qere Milhouse, CRNP

  • Family Nurse Practitioner
  • Homewood, AL
National Provider Identifier
1184243982
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-171760 Issued in AL
Practice address
1944 28TH Ave S
Homewood, AL 35209-2605
Phone
(205) 409-2794
NPI assigned
Apr 11, 2020
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-171760 AL Primary

Addresses

Primary practice location

1944 28TH Ave S
Homewood, AL 35209-2605

Mailing address

1944 28TH Ave S
Homewood, AL 35209-2605
Phone (205) 409-2794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001945 AL Practitioner - Nurse Practitioner 1254796386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

104 Chelsea Point Dr
Chelsea, AL 35043-4100
Phone (205) 409-2794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-171760ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent's Urgent Care LLC CurrentSince Nov 18, 2025 Accepting new patients
Southern Immediate Care, LLC CurrentSince Mar 20, 2023 Accepting new patients
Keel and Associates PastSince Sep 15, 2012 Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

104 Chelsea Point Dr
Chelsea, AL 35043
Phone (205) 453-7550

150 Tompkins St
Heflin, AL 36264
Phone (256) 463-2390

1944 28th Ave S
Homewood, AL 35209
Phone (205) 408-2366

1575 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 330-1707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1184243982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 28TH AVE S",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092605",
            "telephone_number": "205-409-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 28TH AVE S",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092605",
            "telephone_number": "205-409-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHOUSE",
        "first_name": "SHAVONNE",
        "middle_name": "QERE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-171760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.