Individual provider Active NPI

Tabatha Michelle Sutherland Marbutt, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Russellville, AL
National Provider Identifier
1023640802
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-145128 Issued in AL
Practice address
15155 Highway 43 Ste I
Russellville, AL 35653-1975
Phone
(256) 331-2700
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

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
I20200327000082 AL Practitioner - Nurse Practitioner 3274962246 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-145128ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC Family CurrentSince Jan 11, 2021 Accepting new patients
Russellville Hospital Inc CurrentSince Oct 9, 2021 Accepting new patients
Russellville Hospital Inc CurrentSince Oct 9, 2021 Accepting new patients
Lakeland Community Hospital, Inc. Past Accepting new patients
Russellville Hospital Inc PastSince Oct 31, 2021 Accepting new patients

Locations

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

15155 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHGBD
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-145128 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

15155 Highway 43 Ste I
Russellville, AL 35653-1975

Mailing address

15155 Highway 43 Ste I
Russellville, AL 35653-1975
Phone (256) 331-2700

Other names 1

NPPES NPI Registry
  • Tabatha Michelle Sutherland Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2021.

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1023640802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15155 HIGHWAY 43 STE I",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531975",
            "telephone_number": "256-331-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15155 HIGHWAY 43 STE I",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531975",
            "telephone_number": "256-331-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND MARBUTT",
        "first_name": "TABATHA",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-10-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABATHA",
            "last_name": "SUTHERLAND",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

Verify at the official NPI Registry.