Individual provider Active NPI

Judith L Cooley, CRNP

  • Family Nurse Practitioner
  • Gardendale, AL
National Provider Identifier
1003138678
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-048423 Issued in AL
Practice address
430 Fieldstown Rd Ste 104
Gardendale, AL 35071
Phone
(205) 631-5521
Fax
(205) 631-5540
NPI assigned
Feb 23, 2010
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-048423 AL Primary

Addresses

Primary practice location

430 Fieldstown Rd Ste 104
Gardendale, AL 35071

Mailing address

1130 22ND St S Ste 1000
Birmingham, AL 35205-2881
Phone (469) 893-2065

Other practice location 1

758 Main St
Gardendale, AL 35071-2696
Phone (205) 631-5521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000331 AL Practitioner - Nurse Practitioner 1153456140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 715-5943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-048423ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers, LLC CurrentSince Feb 1, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince Feb 1, 2018 Accepting new patients
Nephrology Associates, PC PastSince Jul 22, 2017 Accepting new patients

Locations

831 1st St N
Alabaster, AL 35007
Phone (205) 358-9120

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

1480 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 798-4339

430 Fieldstown Rd
Ste 104
Gardendale, AL 35071
Phone (205) 631-5521

758 Main St
Gardendale, AL 35071
Phone (205) 518-8849

2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-4410

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

3400 Highway 78 E
Ste 110
Jasper, AL 35501
Phone (205) 221-1755

3400 Highway 78 E
Ste 321
Jasper, AL 35501
Phone (205) 385-0630

Interoperability endpoints

  • Direct secure messaging: jcooley46549@baptisthealthaldirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1003138678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S STE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052881",
            "telephone_number": "469-893-2065",
            "fax_number": "469-893-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 FIELDSTOWN RD STE 104",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-631-5521",
            "fax_number": "205-631-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "758 Main St",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712696",
            "country_code": "US",
            "telephone_number": "205-631-5521",
            "fax_number": "205-631-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-048423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.