Active NPI
Childrens of Alabama
- Children's Hospital
- Birmingham, AL
National Provider Identifier
1043577372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- License
- 1-060689
- Legal business name
- CHILDRENS OF ALABAMA
- Practice address
- 1600 7TH Ave S
Birmingham, AL 35233-1711 - Phone
- (205) 939-5432
- NPI assigned
- Apr 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. V Jolene Ethridge, CRNP
- Title
- Pediatric Nurse Practitioner
- Phone
- (205) 939-9285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | 1-060689 | AL | Primary |
Addresses
Primary practice location
1600 7TH Ave S
Birmingham, AL 35233-1711
Mailing address
433 Camp Branch Rd
Alabaster, AL 35007-4915
Phone (205) 664-3024
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1043577372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 CAMP BRANCH RD",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350074915",
"telephone_number": "205-664-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-939-5432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS OF ALABAMA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "ETHRIDGE",
"authorized_official_first_name": "V JOLENE",
"authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "205-939-9285",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "AL",
"license": "1-060689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.