Individual provider Active NPI

Angel Michelle Shadwick

  • Acute Care Nurse Practitioner
  • Conway, AR
National Provider Identifier
1811801160
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
239697 Issued in AR
Practice address
1355 Dave Ward Dr Ste 101
Conway, AR 72034-7082
Phone
(501) 470-9782
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 239697 AR Primary

Addresses

Primary practice location

1355 Dave Ward Dr Ste 101
Conway, AR 72034-7082

Mailing address

1355 Dave Ward Dr Ste 101
Conway, AR 72034-7082
Phone (501) 470-9782

Other names 1

  • Angel Michelle Crowley Former name

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1811801160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 DAVE WARD DR STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347082",
            "telephone_number": "501-470-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 DAVE WARD DR STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347082",
            "telephone_number": "501-470-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADWICK",
        "first_name": "ANGEL",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "239697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "CROWLEY",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.