Shannon Craig White, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-124327 Issued in AL

Practice address

318 Coffee Ave NE
Russellville, AL 35653-2331

Phone

(256) 332-1629

Fax

(256) 332-4178

NPI assigned

Feb 1, 2010

Last updated

Sep 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Care Clinic IncGroup PAC ID 5395656946, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russellville Hospital Hospital, Russellville, AL, CCN 010158

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.white@fhcc.eclinicaldirectplus.com

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.

• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Decatur, AL
  • NPI 1184857195
  Medicare reassignment Care Compare group NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Russellville, AL
  • NPI 1831322841
  NPD
• Aliceville Rural Health Clinic PC

  • Rural Health Clinic/Center
  • Aliceville, AL
  • NPI 1295788784
  NPD (past)
• Family Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Brandon, MS
  • NPI 1346266616
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Russellville Hospital Inc.

  dba Russellville Hospital

  • Rural Acute Care Hospital
  • Russellville, AL
  • NPI 1316015241
  Care Compare affiliation

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1225360316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 COFFEE AVE NE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532331",
            "telephone_number": "256-332-1629",
            "fax_number": "256-332-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 COFFEE AVE NE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532331",
            "telephone_number": "256-332-1629",
            "fax_number": "256-332-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHANNON",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-0403)
• Wal-Mart Stores East, LP (Vision Center 30-0403)
• Tanner Warhurst
• Jennie Leigh Weissend, O.T.
• Celeste Walker Weller
• William B. Wilkinson, MD PC
• Jeffrey Ross Williams, CRNA
• Sadonna Leann Willis, CRNP
• Carolyn Ann Wilson, C.R.N.P.
• Marcus Brant Wilson

• Family Nurse Practitioner in Russellville, AL
• Providers in Russellville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.