| Shantel Ruffin, | |
| 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2317 | |
| (205) 491-3299 | |
| Not Available | 
| Full Name | Shantel Ruffin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3004 Allison Bonnett Memorial Dr, Hueytown, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689489353 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-154225 (Alabama) | Primary | 
| 163W00000X | Registered Nurse | 1-154225 (Alabama) | Secondary | 
| Entity Name | Cahaba Pain And Spine Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073960431 PECOS PAC ID: 9234423138 Enrollment ID: O20160815001976 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shantel Ruffin, 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2317 Ph: (205) 491-3299 | Shantel Ruffin, 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2317 Ph: (205) 491-3299 | 
| Jerelyn H Tiller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-744-4410 Fax: 205-744-6150 | |
| Ronda Lea Freeman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-491-3299 Fax: 205-744-8761 | |
| Ms. Kimberly Nicole Stewart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3029 Allison Bonnett Memorial Dr Ste 107, Hueytown, AL 35023 Phone: 205-436-8270 Fax: 205-436-8275 | |
| Dr. Takeshia Monique Dent-thomas, DNP, MSN, CCRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3039 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-538-5178 Fax: 205-538-5194 | |
| Kelli Michelle Kirby, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-744-4410 | |
| Julie Kemp,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3029 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-996-2273 |