Individual provider Active NPI

Vivian Tucker Reyer, CRNP

  • Pediatric Nurse Practitioner
  • Gardendale, AL
National Provider Identifier
1043520901
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1105938 Issued in AL
Practice address
2001 Fieldstown Rd
Gardendale, AL 35071-4628
Phone
(205) 285-2095
Fax
(205) 285-2093
NPI assigned
Oct 13, 2010
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1105938 AL Primary

Addresses

Primary practice location

2001 Fieldstown Rd
Gardendale, AL 35071-4628

Mailing address

627 Rumble Ave
Birmingham, AL 35213-1130
Phone (205) 746-0203

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
I20181213001447 AL Practitioner - Nurse Practitioner 2365787728 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1105938ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC CurrentSince Sep 29, 2018 Accepting new patients
Urgent Care for Children, PLLC Pediatrics PastSince Oct 11, 2020 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Interoperability endpoints

  • Direct secure messaging: vivian.tucker.1@13471.direct.athenahealth.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, 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": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1043520901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 RUMBLE AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131130",
            "telephone_number": "205-746-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 FIELDSTOWN RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350714628",
            "telephone_number": "205-285-2095",
            "fax_number": "205-285-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYER",
        "first_name": "VIVIAN",
        "middle_name": "TUCKER",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1105938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.