Marvin Mitch Shelton, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-043069 Issued in AL

Practice address

3701 Loop Rd
BLDG 39
Tuscaloosa, AL 35404-5015

Phone

(205) 562-3700

Fax

(205) 562-3769

NPI assigned

Dec 18, 2008

Last updated

Dec 23, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mental Health BD of Bibb Pickens and Tuscaloosa Counties

  dba Indian Rivers MHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
  • NPI 1659313393
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1275779480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032190",
            "telephone_number": "205-562-3700",
            "fax_number": "205-562-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LOOP RD",
            "address_2": "BLDG 39",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045015",
            "telephone_number": "205-562-3700",
            "fax_number": "205-562-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MARVIN",
        "middle_name": "MITCH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-043069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Arjuna Sharma, MD
• Seth Adam Shaul
• Marsha Diane Shaw, CRNP
• Gracy Sheely
• Chloe Shell, MSW
• Sachin Balkunje Shenoy, M.D.
• Arthur Robert Sheppard, M.D,
• John D Sheppard, MD
• Cameron Scott Sherrill, M.D.
• Jarett B Sherrill, DC

• Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.