MEDICARE: MRS. SHANNON LAYTON LCSW, PIP, RN, CNL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	1-126757	AL
2	163WC1500X	Community Health Registered Nurse	1-126757	AL
3	163WM0705X	Medical-Surgical Registered Nurse	1-126757	AL
4	163WP0808X	Psychiatric/Mental Health Registered Nurse	1-126757	AL
5	163WC0400X	Case Management Registered Nurse	1-126757	AL
6	163WX0200X	Oncology Registered Nurse	1-126757	AL
7	1041C0700X	Clinical Social Worker	2181C	AL
8	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	1-126757	AL
9	163WD0400X	Diabetes Educator Registered Nurse	1-126757	AL
10	163WW0000X	Wound Care Registered Nurse	1-126757	AL

General Provider Information

NPI Number	:	1659558179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHANNON LAYTON LCSW, PIP, RN, CNL

Provider Business Mailing Address
First Line	:	636 FOUNDERS PARK DR W
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-4143
Country	:	US
Telephone Number	:	205-588-5722
Fax Number	:	205-942-6770

Provider Business Practice Location Address
First Line	:	651 BEACON PKWY W
Second Line	:	STE 202B
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3141
Country	:	US
Telephone Number	:	205-588-5722
Fax Number	:	205-942-6770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	06/03/2026

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