Individual provider Active NPI

Shelby Thompson, DNP, FNP-C

  • Family Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1720703663
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-153622 Issued in AL
Practice address
70 Plaza Dr
Pell City, AL 35125-9314
Phone
(205) 814-9284
Fax
(205) 814-9626
NPI assigned
Oct 4, 2022
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36412 TN
Family Nurse Practitioner 363LF0000X 1-153622 AL Primary

Addresses

Primary practice location

70 Plaza Dr
Pell City, AL 35125-9314

Mailing address

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-9284

Other practice location 1

1321 Huntsville Hwy
Fayetteville, TN 37334-3603
Phone (931) 297-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221130000223 AL Practitioner - Nurse Practitioner 3971971698 Reassigns benefits to 5 organizations
I20240814002290 TN Practitioner - Nurse Practitioner 3971971698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Care IncGroup PAC ID 7618103748, shared by 3 NPIs, 56 clinicians

Practice addresses (Care Compare)

1115 Beltline Rd SE
Suite 400
Decatur, AL 35601-6556
Phone (256) 898-3004

14451 Hwy 231 431 N
Suite a
Hazel Green, AL 35750-8659
Phone (256) 829-6025

22175 US Hwy 72
Athens, AL 35613-2612
Phone (256) 867-1325

7216 Bailey Cove Rd SE
Suite a
Huntsville, AL 35802-2746
Phone (256) 513-9900

900 Bob Wallace Ave SW
Huntsville, AL 35801-5647
Phone (256) 539-0781

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-153622ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care Inc CurrentSince Jul 17, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 2, 2024 Accepting new patients
Eminence Urgent Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 6, 2024 Accepting new patients
Advantage Family Care, Inc. CurrentSince Jul 17, 2024 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Nov 21, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 6, 2024 Accepting new patients
Pelham Internal Medicine LLC CurrentSince Aug 15, 2023 Accepting new patients

Locations

233 Beverly Dr
Ste 101
Calera, AL 35040
Phone (205) 821-4411

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

7216 Bailey Cove Rd SE
Ste A
Huntsville, AL 35802
Phone (256) 513-9900

900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

2156 Highway 52 E
#100
Pelham, AL 35124
Phone (205) 747-2273

2156 Highway 52 E
#150
Pelham, AL 35124
Phone (205) 920-1211

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

1321 Huntsville Hwy
Fayetteville, TN 37334
Phone (931) 297-2201

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1720703663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-814-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-814-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Huntsville Hwy",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373343603",
            "country_code": "US",
            "telephone_number": "931-297-2201",
            "fax_number": "931-297-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHELBY",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-153622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.