Individual provider Active NPI

Sheneka Annette McNichols, CRNP

  • Pediatric Nurse Practitioner
  • Vestavia, AL
National Provider Identifier
1730434085
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-100394 Issued in AL
Practice address
600 Vestavia Pkwy Ste 251
Vestavia, AL 35216-7719
Phone
(205) 419-7376
Fax
(844) 325-0578
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-100394 AL Primary

Addresses

Primary practice location

600 Vestavia Pkwy Ste 251
Vestavia, AL 35216-7719

Mailing address

600 Vestavia Pkwy Ste 251
Vestavia, AL 35216-7719
Phone (205) 419-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-100394ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regimen Pediatric Healthcare LLC Pediatrics CurrentSince Feb 9, 2025 Accepting new patients
Wee Care Pediatrics LLC Past Accepting new patients

Locations

400 Vestavia Pkwy
Ste 406
Vestavia, AL 35216
Phone (205) 379-0995

600 Vestavia Pkwy
Ste 251
Vestavia, AL 35216
Phone (205) 419-7376

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1730434085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VESTAVIA PKWY STE 251",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352167719",
            "telephone_number": "205-419-7376",
            "fax_number": "844-325-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VESTAVIA PKWY STE 251",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352167719",
            "telephone_number": "205-419-7376",
            "fax_number": "844-325-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLS",
        "first_name": "SHENEKA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-100394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.