Active NPI
Haley Brooke Shirah, LPN
- Licensed Practical Nurse
- Clanton, AL
National Provider Identifier
1992233134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2-065953
- Practice address
- 110 Medical Center Dr
Clanton, AL 35045-2332 - Phone
- (205) 755-5933
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2-065953 | AL | Primary |
Addresses
Primary practice location
110 Medical Center Dr
Clanton, AL 35045-2332
Mailing address
PO Box 689
Calera, AL 35040-0689
Phone (205) 755-8800
Other practice location 1
2100 County Services Dr
Pelham, AL 35124-6150
Phone (205) 663-1252
Other practice location 2
151 Hamilton Ln
Calera, AL 35040-8700
Phone (205) 668-4308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-065953 | AL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Board of Chilton and Shelby Counties Inc | Past | Accepting new patients | |
| Mental Health Board of Chilton and Shelby Counties Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Clanton, AL
- NPI 1487829966
-
- Community/Behavioral Health Agency
- Calera, AL
- NPI 1639247869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992233134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689",
"city": "CALERA",
"state": "AL",
"postal_code": "350400689",
"telephone_number": "205-755-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MEDICAL CENTER DR",
"city": "CLANTON",
"state": "AL",
"postal_code": "350452332",
"telephone_number": "205-755-5933"
}
],
"practiceLocations": [
{
"address_1": "2100 County Services Dr",
"address_purpose": "LOCATION",
"city": "Pelham",
"state": "AL",
"postal_code": "351246150",
"country_code": "US",
"telephone_number": "205-663-1252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 Hamilton Ln",
"address_purpose": "LOCATION",
"city": "Calera",
"state": "AL",
"postal_code": "350408700",
"country_code": "US",
"telephone_number": "205-668-4308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIRAH",
"first_name": "HALEY",
"middle_name": "BROOKE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AL",
"license": "2-065953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.