Individual provider Active NPI

Shawna Moffett, CNM, FNP

  • Family Nurse Practitioner
  • Clanton, AL
National Provider Identifier
1235139155
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-076701 Issued in AL
Practice address
301 Health Center Dr
Clanton, AL 35045-2349
Phone
(205) 755-1287
NPI assigned
Jul 21, 2005
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317000898 AL Practitioner - Nurse Practitioner 8527541655 Reassigns benefits to 1 organization

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
Lister Health Care CorporationGroup PAC ID 5395646202, 14 clinicians

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

LicenseStateTypeSpecialty
1-076701ALMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Healthcare Corporation CurrentSince Jan 4, 2026 Accepting new patients
Lister Health Care Corporation CurrentSince Jan 4, 2026 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.

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

Verify at the official NPI Registry.