Angela J Sheddan, A.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A01872 Issued in AR

Practice address

215 E Bond Ave
West Memphis, AR 72301-3550

Phone

(870) 735-3842

Fax

(870) 732-1940

NPI assigned

Mar 2, 2006

Last updated

Nov 27, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Primary Care PLLC

  dba The Oakland Clinic

  • Clinic/Center
  • Oakland, TN
  • NPI 1477574648
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1487621157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252204",
            "telephone_number": "901-262-6349",
            "fax_number": "901-339-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013550",
            "telephone_number": "870-735-3842",
            "fax_number": "870-732-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDDAN",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayesha Saeed Shah, MD
• Sharinglyfe Living Program
• Heather Sharpe
• Misty L Shatley, P.A.-C
• Constance Shaw
• Alexus Shell, OWNER
• Sheltered Wkshp of Crittenden Co Inc (Eastark Enterprises)
• Patricia Shelton
• Ashley Drew Shepherd, M.S. CCC-SLP
• Ryan Shibata, MD

• Nurse Practitioner in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.