Active NPI
Iris Kay Bessiouni, CRNP
- Family Nurse Practitioner
- Greensboro, AL
National Provider Identifier
1053962639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-068176
- Practice address
- 508 Greene St
Greensboro, AL 36744-2316 - Phone
- (334) 624-6024
- Fax
- (334) 624-4453
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-068176 | AL | Primary |
Addresses
Primary practice location
508 Greene St
Greensboro, AL 36744-2316
Mailing address
10303 Fikes Farm Rd
Cottondale, AL 35453-1164
Phone (205) 331-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-068176 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1053962639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10303 FIKES FARM RD",
"city": "COTTONDALE",
"state": "AL",
"postal_code": "354531164",
"telephone_number": "205-331-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 GREENE ST",
"city": "GREENSBORO",
"state": "AL",
"postal_code": "367442316",
"telephone_number": "334-624-6024",
"fax_number": "334-624-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSIOUNI",
"first_name": "IRIS",
"middle_name": "KAY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-068176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, AL
- Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #04917)
- Alabama Home Respiratory Inc
- Julie Suzanne Aldridge
- Murray Williams Alsip, D.O.
- American Health Corporation and Subsidiaries (Colonial Haven Health and Rehabilitation)
- Lindsay Blackburn, SLP
- Meghan Bonds, MD
- Boones Pharmacy Inc (Boone's Pharmacy)
- Stefanie Marie Byrne, OTR/L
- Caremor Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.