Individual provider Active NPI

Stephanie Blume, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1033914833
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-110544 Issued in AL
Practice address
185 Whitesport Dr SW Ste 5
Huntsville, AL 35801-6487
Phone
(256) 880-3500
NPI assigned
Feb 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-110544 AL Primary

Addresses

Primary practice location

185 Whitesport Dr SW Ste 5
Huntsville, AL 35801-6487

Mailing address

185 Whitesport Dr SW Ste 5
Huntsville, AL 35801-6487
Phone (256) 880-3500

Other practice location 1

11743 County Line Rd Ste C
Madison, AL 35758-3301
Phone (256) 880-3500

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
I20250715000001 AL Practitioner - Nurse Practitioner 3779098116 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-110544ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Neuropsychiatry, LLC Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients

Locations

185 Whitesport Dr SW
Ste 5
Huntsville, AL 35801
Phone (256) 613-2474

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJICAD/Endpoint/DJICAD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1033914833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-880-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-880-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11743 County Line Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583301",
            "country_code": "US",
            "telephone_number": "256-880-3500",
            "fax_number": "256-880-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUME",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-110544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.