Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Deann Glaze, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1568961811

Shannon Deann Glaze, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2014, 12 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
12
Licensed in
AL
In the registry since
2018
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone: (205) 939-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1802 6th Ave S, Birmingham, AL 35233-1932 — (205) 934-3231
  • 1130 Hale St, Oxford, AL 36203-2444 — (731) 394-1145

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-122307 (AL)

Record details

NPI number1568961811
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 1, 2018
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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