Individual provider Active NPI

Angela Spears, CRNP

  • Family Nurse Practitioner
  • Vestavia Hills, AL
National Provider Identifier
1053956094
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-125963 Issued in AL
Practice address
1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone
(205) 379-0900
Fax
(205) 238-7900
NPI assigned
Nov 13, 2019
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-125963 AL
Family Nurse Practitioner 363LF0000X 1-125963 AL Primary
Registered Nurse 163W00000X 1-125963 AL

Addresses

Primary practice location

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750

Mailing address

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone (205) 379-0900

Other practice location 1

500 22nd St S Ste 858
Birmingham, AL 35233-3110
Phone (205) 975-1016

Other practice location 2

500 22nd St S
Birmingham, AL 35233-3110
Phone (205) 996-7546

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
I20220413000531 AL Practitioner - Nurse Practitioner 0749676062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Skin Cancer and Aesthetic Center LLCGroup PAC ID 1153850607, 4 clinicians

Practice addresses (Care Compare)

1360 Montgomery Hwy
Suite 114
Vestavia Hills, AL 35216-2750
Phone (205) 379-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-125963ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 4, 2022 Accepting new patients
Alabama Skin Cancer & Aesthetic Center LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

7201 Copperfield Dr
Montgomery, AL 36117
Phone (205) 379-0900

1360 Montgomery Hwy
Ste 114
Vestavia Hills, AL 35216
Phone (205) 379-0900

Interoperability endpoints

  • Direct secure messaging: angelaspears@direct.uabmedicine.org

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1053956094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "205-238-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 22nd St S Ste 858",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333110",
            "country_code": "US",
            "telephone_number": "205-975-1016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 22nd St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333110",
            "country_code": "US",
            "telephone_number": "205-996-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "ANGELA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-125963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125963",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-125963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.