Sheadrian Antalan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1167734 Issued in AL

Practice address

30 Schillinger Rd N Ste 102
Mobile, AL 36608-5060

Phone

(251) 202-9168

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pacifico Enterprise LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Mobile, AL
  • NPI 1629874847
  NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1730904293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SCHILLINGER RD N STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085060",
            "telephone_number": "251-202-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SCHILLINGER RD N STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085060",
            "telephone_number": "251-202-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTALAN",
        "first_name": "SHEADRIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1167734",
            "primary": true
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Faye Ankrom-Giles
• Anna Barksdale, MSCP, LPC, LLC
• Nadarajan Annamalai, DMD
• Annbellahs Home Care Services LLC
• Anointed Private Duty Home Health
• Nicole Isobel Anthony
• Muhammad Zohaib Anwar, MD
• Jared Appel
• Lydia Applequist
• Applied Pharmacy Services, Inc

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.