Individual provider Active NPI

Shawntavia Powe

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1861968760
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143824 Issued in AL
Practice address
324 Commons Dr Ste 21
Birmingham, AL 35209-6962
Phone
(205) 498-5519
Fax
(855) 710-8104
NPI assigned
Oct 17, 2018
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-143824 AL Primary
Family Nurse Practitioner 363LF0000X NP500014926 DC
Family Nurse Practitioner 363LF0000X TPAN1615 FL

Addresses

Primary practice location

324 Commons Dr Ste 21
Birmingham, AL 35209-6962

Mailing address

120 19TH St N Apt 321
Birmingham, AL 35203-3256
Phone (205) 498-5519

Other names 1

  • Shawntavia Latrice Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190116001795 AL Practitioner - Nurse Practitioner 8527304237 Reassigns benefits to 3 organizations
I20260429004418 FL Practitioner - Nurse Practitioner 8527304237 Reassigns benefits to 1 organization
I20260506000074 DC Practitioner - Nurse Practitioner 8527304237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-143824ALMDFamily Nurse Practitioner
NP500014926DCMDFamily Nurse Practitioner
TPAN1615FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 1, 2018 Accepting new patients
Ecure, LLC CurrentSince Sep 8, 2021 Accepting new patients
Vincentian Physician Services LLC Emergency Medicine CurrentSince Nov 4, 2019 Accepting new patients

Locations

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

324 Commons Dr
Ste 21
Birmingham, AL 35209
Phone (205) 498-5519

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2217 Decatur Hwy
Ste 101
Gardendale, AL 35071
Phone (205) 418-1200

120 Cahaba Valley Pkwy
Ste 203
Pelham, AL 35124
Phone (205) 235-5800

Organizations & group practices 5

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1861968760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 19TH ST N APT 321",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033256",
            "telephone_number": "205-498-5519",
            "fax_number": "855-710-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 COMMONS DR STE 21",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096962",
            "telephone_number": "205-498-5519",
            "fax_number": "855-710-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWE",
        "first_name": "SHAWNTAVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143824",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500014926",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN1615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNTAVIA",
            "last_name": "WILLIAMS",
            "middle_name": "LATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.