Shay Ellard Bruton, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG01240061 Issued in AL

Practice address

1557 Spring Hill Ave
Mobile, AL 36604-3218

Phone

(251) 478-4900

NPI assigned

Jun 26, 2024

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

Other names 1

• Joanna Shay Ellard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gulf Coast Interventional Spine & Joint Specialists LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mobile, AL
  • NPI 1952783748
  NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1346085909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043218",
            "telephone_number": "251-478-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043218",
            "telephone_number": "251-478-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTON",
        "first_name": "SHAY",
        "middle_name": "ELLARD",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "AG01240061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "ELLARD",
            "middle_name": "SHAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Bruns, CRNA
• Johnathan E Bruns, CRNA
• Haley Alyssa Brunson
• Barbara Brutkiewicz, CRNP
• Robert Carl Brutkiewicz, MD
• Melissa Snow Bryan, FNP
• Bryant Center Technical Center
• Alice Bryant
• Beverly Mann Bryant, LPC
• Haley Bryant

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.