NPIMap

Individual provider Active NPI

Shelley Sanders Byrd, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1841576915
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-078326 Issued in AL
Practice address
1758 Park PL
Suite 100
Montgomery, AL 36106-1127
Phone
(334) 265-8455
Fax
(334) 265-8456
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-078326 AL Primary

Addresses

Primary practice location

1758 Park PL
Suite 100
Montgomery, AL 36106-1127

Mailing address

1758 Park PL
Suite 100
Montgomery, AL 36106-1127
Phone (334) 265-8455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000232 AL Practitioner - Nurse Practitioner 5193971505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1840 E Main St
Prattville, AL 36066-5500
Phone (334) 595-8610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as individual
Quality
65.57
Promoting interoperability
100
Improvement activities
40
Cost
87.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-078326ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Jackson Hospital and Clinic, Inc CurrentSince Jul 1, 2012 Accepting new patients
Nes Tennessee Inc Family Current Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
John K.L. Porter, D.O., PC PastSince Mar 1, 2020 Accepting new patients
Jackson Hospital and Clinic Inc. Past Accepting new patients
Jackson Hospital and Clinic Inc. Past Accepting new patients
William O. Sargeant PC PastSince Jan 26, 2020 Accepting new patients
Jackson Hospital and Clinic, Inc Past Accepting new patients

Locations

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

11123 Chantilly Pkwy Ct
Unit M
Pike Road, AL 36064
Phone (334) 293-8888

9521 Vaughn Rd
Pike Road, AL 36064
Phone (334) 523-6047

1840 E Main St
Prattville, AL 36066
Phone (334) 323-4000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: shelley.byrd.1@9186.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1841576915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061127",
            "telephone_number": "334-265-8455",
            "fax_number": "334-265-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061127",
            "telephone_number": "334-265-8455",
            "fax_number": "334-265-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "SHELLEY",
        "middle_name": "SANDERS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-078326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.