Kathleen T. Shine, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.15964 Issued in AL

Practice address

101 E 15TH Ave
Gulf Shores, AL 36542-3501

Phone

(251) 962-1250

Fax

(251) 967-7832

NPI assigned

Nov 17, 2005

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

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.

• Foley Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1427296029
  NPD
• Foley Clinic Corp

  • Family Medicine Physician
  • Gulf Shores, AL
  • NPI 1629027826
  NPD

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1851373500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 15TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423501",
            "telephone_number": "251-949-3479",
            "fax_number": "251-949-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 15TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423501",
            "telephone_number": "251-962-1250",
            "fax_number": "251-967-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 N McKenzie St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365354703",
            "country_code": "US",
            "telephone_number": "251-424-1232",
            "fax_number": "251-424-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINE",
        "first_name": "KATHLEEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.15964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240446",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.shine.1@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "101 E 15th Ave",
            "city": "Gulf Shores",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365423501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.shine.3@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1851 N McKenzie St Ste 101",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365354703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James V Shamburger, DMD
• Chad Arthur Sharkey, DC
• Lucretia Shedeck, RDMS, RVT
• Casey Shell, DC
• Karen Wilson Shepherd, PTA
• Turner Shirley
• Christopher Blake Shoemaker, PHARMD
• Emily Sikes
• Anna Kay Smith, MA, ALC
• Sarah Cathryn Snellgrove I, D.C.

• Family Medicine Physician in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.