Active NPI
Shawna Moffett, CNM, FNP
- Family Nurse Practitioner
- Clanton, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-076701
- Practice address
- 301 Health Center Dr
Clanton, AL 35045-2349 - Phone
- (205) 755-1287
- NPI assigned
- Jul 21, 2005
- Last updated
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-076701 | AL | Primary |
| Advanced Practice Midwife | 367A00000X | 1-076701 | AL |
Addresses
Primary practice location
301 Health Center Dr
Clanton, AL 35045-2349
Mailing address
4011 Industrial Park Dr
Clanton, AL 35045-8629
Phone (205) 299-0804
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11206 Hwy 25
Calera, AL 35040-6814
Phone (205) 668-0941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-076701 | AL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lister Healthcare Corporation | Current | Accepting new patients | |
| Lister Health Care Corporation | Current | Accepting new patients |
Locations
11206 Highway 25
Calera, AL 35040
Phone (205) 668-0941
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.
-
dba Dr. Terry J. True
- Family Medicine Physician
- Muscle Shoals, AL
- NPI 1174579213
-
dba Calera Family Practice
- Family Medicine Physician
- Calera, AL
- NPI 1609806306
-
dba Tri Cities Health and Wellness
- Family Medicine Physician
- Muscle Shoals, AL
- NPI 1437981172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1235139155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 INDUSTRIAL PARK DR",
"city": "CLANTON",
"state": "AL",
"postal_code": "350458629",
"telephone_number": "205-299-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HEALTH CENTER DR",
"city": "CLANTON",
"state": "AL",
"postal_code": "350452349",
"telephone_number": "205-755-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "SHAWNA",
"name_prefix": "Ms.",
"credential": "CNM, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-076701",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AL",
"license": "1-076701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.