Individual provider Active NPI

Sheila Renee Holland Pruett

  • Adult Health Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1710531496
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-145131 Issued in AL
Practice address
3007 Memorial Pkwy SW Ste a
Huntsville, AL 35801-5394
Phone
(256) 799-2504
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-145131 AL Primary

Addresses

Primary practice location

3007 Memorial Pkwy SW Ste a
Huntsville, AL 35801-5394

Mailing address

975 E 3Rd St
Chattanooga, TN 37403-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220621000589 TN Practitioner - Nurse Practitioner 0143636811 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Feb 3, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jul 10, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jul 10, 2022 Accepting new patients
Erlanger Health CurrentSince Feb 3, 2024 Accepting new patients

Locations

979 E 3rd St
Ste C430
Chattanooga, TN 37403
Phone (423) 624-6584

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 4

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1710531496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 MEMORIAL PKWY SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015394",
            "telephone_number": "256-799-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND PRUETT",
        "first_name": "SHEILA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-145131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.