Shireen S Knowles, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1097798 Issued in AL

Practice address

6701 Airport Blvd Ste D100
Mobile, AL 36608-6765

Phone

(251) 607-6117

Fax

(251) 219-0746

NPI assigned

Nov 22, 2010

Sex

Female

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

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petersen Neurospine PLLCGroup PAC ID 6204268022, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGJIBD/Endpoint/EGJIBD

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.

• Petersen Neurospine, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Mobile, AL
  • NPI 1639710882
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1336441500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086765",
            "telephone_number": "251-607-6117",
            "fax_number": "251-219-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086765",
            "telephone_number": "251-607-6117",
            "fax_number": "251-219-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "SHIREEN",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1097798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knollwood NH LLC
• Aimee Knott
• Brandy Renee Knowles
• Carmen Knowles
• Kurt J Knowles, MD
• Lillian Dennese Knox, MA,LMFT
• Robert P. Kobelja, MD
• Emma Claire Koch
• Henry J Koch, M.D.
• Kayleigh Koch

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.