Individual provider Active NPI

Shanyn Bailey, NP

  • Family Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1639584097
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-130583 Issued in AL
Practice address
10 Meadowview Dr
Hoover, AL 35242-7700
Phone
(205) 547-2323
Fax
(205) 995-0955
NPI assigned
Jun 24, 2014
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-130583 AL Primary

Addresses

Primary practice location

10 Meadowview Dr
Hoover, AL 35242-7700

Mailing address

10 Meadowview Dr
Hoover, AL 35242-7700
Phone (205) 547-2323

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140813000809 AL Practitioner - Nurse Practitioner 8123245263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Care Internal Medicine PCGroup PAC ID 2668642794, 3 clinicians

Practice addresses (Care Compare)

10 Meadowview Dr
Hoover, AL 35242-7700
Phone (205) 547-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-130583ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Care Internal Medicine PC CurrentSince Jul 7, 2014 Accepting new patients
Affinity Cardiovascular Specialists LLC Past Accepting new patients

Locations

10 Meadowview Dr
Hoover, AL 35242
Phone (205) 547-2323

2827 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 547-2323

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1639584097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOWVIEW DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352427700",
            "telephone_number": "205-547-2323",
            "fax_number": "205-995-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEADOWVIEW DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352427700",
            "telephone_number": "205-547-2323",
            "fax_number": "205-995-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHANYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.