Individual provider Active NPI

Shelly Harlow, FNP-C

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1225620198
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29091 Issued in TN
Practice address
8489 Madison Blvd
Madison, AL 35758-2005
Phone
(256) 850-8400
Fax
(256) 850-8401
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 29091 TN Primary

Addresses

Primary practice location

8489 Madison Blvd
Madison, AL 35758-2005

Mailing address

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

Other practice location 1

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

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
I20220209002340 AL Practitioner - Nurse Practitioner 8820403454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quickcare Urgent LLCGroup PAC ID 9032342258, 12 clinicians
QC Wellness LLCGroup PAC ID 0547542995, 12 clinicians

Practice addresses (Care Compare)

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

7500 Hwy 72 W
Madison, AL 35758-9554
Phone (256) 964-8338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29091TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Care Urgent, LLC CurrentSince Aug 22, 2022 Accepting new patients
QC Wellness, LLC CurrentSince Nov 22, 2024 Accepting new patients
QC Pharmacy LLC Past Accepting new patients
Quickcare RX LLC PastSince Aug 22, 2022 Accepting new patients
Cullman Primary Care, PC PastSince Feb 26, 2023 Accepting new patients

Locations

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1225620198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8489 MADISON BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582005",
            "telephone_number": "256-850-8400",
            "fax_number": "256-850-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Governors Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358012745",
            "country_code": "US",
            "telephone_number": "256-517-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "SHELLY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.