Shekela Joiner Mack, MSN, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-113721 Issued in AL

Practice address

1700 6TH Ave South
Wic 7TH Floor - Hosu
Birmingham, AL 35294

Phone

(205) 934-9787

Fax

(205) 934-0655

NPI assigned

Mar 12, 2014

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

Master of Science - Nursing

Interoperability endpoints

• Direct secure messaging: shekela.mack.p2@direct.alegiscare.nextgenshare.com
• Direct secure messaging: sjmack@direct.uabmedicine.org

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1730505942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 STONEYKIRK RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246217",
            "telephone_number": "205-934-9787",
            "fax_number": "205-934-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE SOUTH",
            "address_2": "WIC 7TH FLOOR - HOSU",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35294",
            "telephone_number": "205-934-9787",
            "fax_number": "205-934-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "SHEKELA",
        "middle_name": "JOINER",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-113721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mace, PHARMACIST
• Shana Monika Machado, D.O.
• Brittany Shea Machowicz, CRNP
• Kathleen Lyons Machtolff
• Alexa Joelle Mack
• Amy Sessions Mackay, M.D.
• Patrick J. Macke, CRNA
• Derick Jason Mackey, BS
• Walter Randall Mackey, MSPT
• Amanda Mackinaw, PTA

• Acute Care Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.