Active NPI
Irene Mutembei
- Family Nurse Practitioner
- Bessemer, AL
National Provider Identifier
1013483734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-26388
- Practice address
- 325 Selma Rd
Bessemer, AL 35020 - Phone
- (205) 641-4895
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-26388 | AL | Primary |
Addresses
Primary practice location
325 Selma Rd
Bessemer, AL 35020
Mailing address
325 Selma Rd
Bessemer, AL 35020-2417
Phone (205) 641-4895
Other practice location 1
5957 Waterscape Pass
Hoover, AL 35244-5116
Phone (256) 694-7328
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Southland Dr
Hoover, AL 35226-3732
Phone (205) 343-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-26388 | AL | MD | Family Nurse Practitioner |
Interoperability endpoints
- irene.mutembei.p2@direct.alegiscare.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Tuscaloosa, AL
- NPI 1407257447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1013483734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SELMA RD",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350202417",
"telephone_number": "205-641-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SELMA RD",
"city": "BESSEMER",
"state": "AL",
"postal_code": "35020",
"telephone_number": "205-641-4895"
}
],
"practiceLocations": [
{
"address_1": "5957 Waterscape Pass",
"address_purpose": "LOCATION",
"city": "Hoover",
"state": "AL",
"postal_code": "352445116",
"country_code": "US",
"telephone_number": "256-694-7328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTEMBEI",
"first_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-26388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.