Makenzie Kramer Shadrick, CRNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

155278 Issued in AL

Practice address

1001 Leighton Ave
Anniston, AL 36207-5701

Phone

(256) 237-1618

Fax

(256) 237-2661

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

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)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anniston Pediatrics Inc

  • Counselor
  • Anniston, AL
  • NPI 1801130497
  NPD
• Anniston Pediatrics, Inc

  • Pediatrics Physician
  • Anniston, AL
  • NPI 1457364994
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1790370187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075701",
            "telephone_number": "256-237-1618",
            "fax_number": "256-237-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075701",
            "telephone_number": "256-237-1618",
            "fax_number": "256-237-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADRICK",
        "first_name": "MAKENZIE",
        "middle_name": "KRAMER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "155278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis E Sellers III, M.D.
• Kevin A Sells, M.D.
• Jessica Marie Semyonova, CRNP
• Serendipity Counseling
• Michael Sesay, MD
• Haroon Anwar Shaikh, M.D.
• Thomas D. Sharp, DMD
• Mark Shaw
• Brittany Shiflett, DPT
• Shine N Stars, LLC

• Pediatrics Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.