Individual provider Active NPI

Shanquail H Archibald, CRNP

  • Gerontology Nurse Practitioner
  • Moundville, AL
National Provider Identifier
1861815425
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2013015363 Issued in AL
Practice address
11889 Glen Ridge Blvd
Moundville, AL 35474-6368
Phone
(205) 561-7724
NPI assigned
Jan 31, 2014
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2013015363 AL
Gerontology Nurse Practitioner 363LG0600X 2013015363 AL Primary
Registered Nurse 163W00000X 1-127996 AL

Addresses

Primary practice location

11889 Glen Ridge Blvd
Moundville, AL 35474-6368

Mailing address

11889 Glen Ridge Blvd
Moundville, AL 35474-6368
Phone (205) 561-7724

Other names 1

  • Mrs. Shanquail D Horton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001092 AL Practitioner - Nurse Practitioner 5395969620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013015363ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Behavioral Health, LLC CurrentSince May 1, 2022 Accepting new patients
Healthcare Consultants of Alabama LLC CurrentSince Jun 15, 2026 Accepting new patients
Shoals NP Homecare, LLC Current Accepting new patients
Signify Health, LLC CurrentSince Sep 13, 2022 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

120 S Locust St
Florence, AL 35630
Phone (256) 320-7781

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: shanquailhorton@tpsllc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1861815425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11889 GLEN RIDGE BLVD",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "354746368",
            "telephone_number": "205-561-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11889 GLEN RIDGE BLVD",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "354746368",
            "telephone_number": "205-561-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "SHANQUAIL",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "2013015363",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "2013015363",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-127996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANQUAIL",
            "last_name": "HORTON",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moundville, AL

Sources for this page

Verify at the official NPI Registry.