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RODERICK DARNELL SHINE CRNP
NPI 1215459854
Nurse Practitioner - Neonatal, Critical Care in Montgomery, AL

Active since July 15, 2017
2105 E SOUTH BLVD, MONTGOMERY, AL 36116(334) 288-2100 Get Directions Write a Review

NPPES record last updated: July 15, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Roderick Darnell Shine Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODERICK DARNELL SHINE CRNP (NPI 1215459854) is an individual neonatal, critical care provider in Montgomery, Alabama, licensed in Alabama (1-120663) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1215459854
Entity TypeIndividualMale
Primary Taxonomy363LN0005X
Provider Legal NameRODERICK DARNELL SHINECredential: CRNP
Location Address2105 E SOUTH BLVDMontgomery, AL 36116-2409
Mailing Address90 Emerald DrPike Road, AL 36064-2932 · (334) 294-8029
Phone(334) 288-2100
Sole ProprietorNo
Enumeration DateJuly 15, 2017
✔ NPI 1215459854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in AL · 1-120663
2105 E SOUTH BLVD, Montgomery, AL 36116
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRISTA WANDA MARQUARDT C.R.N.A.
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100
PREMIER ANESTHESIA OF MONTGOMERY
General Acute Care Hospital
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 322-9983
THOMAS H. BOOTH II C.R.N.A.
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 386-3579
MR. MIHIR M PRADHAN M.D.
Family Medicine
2105 E SOUTH BLVD, BAPTIST MEDICAL CENTER SOUTH
MONTGOMERY, AL 36116
Montgomery County (334) 286-2987
SUSAN HAMILTON MITCHELL CRNA
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100
BREANNA ROSE GREIVING CRNA
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 747-2100
HOLLIE NICOLE SANDERS CRNA
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD, BAPTIST HOSPITAL DEPT OF ANES
MONTGOMERY, AL 36116
Montgomery County (770) 643-5619
DR. MOHAMMED ALOMARI MD
Hospitalist
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roderick Shine's NPI number?

The NPI number for Roderick Shine is 1215459854. It was assigned to this individual provider in the NPPES registry on July 15, 2017.

Where is Roderick Shine located?

Roderick Shine practices at 2105 E South Blvd, Montgomery, AL 36116. The listed phone number is (334) 288-2100.

What is Roderick Shine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Roderick Shine was last updated on July 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.