Derek Scott Sheats
Individual provider Active NPI Homemaker · Hartselle, AL
NPI 1265829907 · NPPES record last updated Apr 21, 2015
Key facts
- NPI
- 1265829907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 146 Alsbrooks Dr
Hartselle, AL 35640-5732 - Phone
- (256) 642-3843
- Fax
- (256) 686-0363
- NPI assigned
- Apr 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | AL | Yes |
Addresses
Primary practice location
146 Alsbrooks Dr
Hartselle, AL 35640-5732
Mailing address
PO Box 116
Decatur, AL 35602-0116
Phone (256) 642-3843
Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.