Glenda Shackleford

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1532 Carol Cir
Birmingham, AL 35228-3139

Phone

(205) 705-6639

NPI assigned

Dec 19, 2008

Last updated

Dec 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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.

• Angel Hand

  • In Home Supportive Care Agency
  • Birmingham, AL
  • NPI 1700718467
  NPD Authorized official
• Secure Transporation

  • Non-emergency Medical Transport (VAN)
  • Midfield, AL
  • NPI 1033867908
  NPD Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1366688459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 CAROL CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352283139",
            "telephone_number": "205-705-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 CAROL CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352283139",
            "telephone_number": "205-705-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKLEFORD",
        "first_name": "GLENDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Lin Seymour
• Monica P Sfakianos, R.PH.
• Moses Sghayyer, MD
• Alesia Shaaban
• Savanna Shackelford, LICSW
• Margaret Shadix
• Nurit Shadmi, MD
• Katie Shaffer, RBT
• Robert A Shaffer, M.D.
• Ashish Shah, MD

• Durable Medical Equipment & Medical Supplies in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.