Active NPI
Amanda T Cabaniss, RN, CRNP
- Nurse Practitioner
- Alabaster, AL
National Provider Identifier
1063475846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1047753
- Practice address
- 1024 1St St N
Central Alabama Oncology, LLC
Alabaster, AL 35007-8703 - Phone
- (205) 664-4051
- Fax
- (205) 664-4054
- NPI assigned
- Apr 11, 2006
- Last updated
- Feb 28, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1047753 | AL | Primary |
Addresses
Primary practice location
1024 1St St N
Central Alabama Oncology, LLC
Alabaster, AL 35007-8703
Mailing address
1024 1St St N
Central Alabama Oncology, LLC
Alabaster, AL 35007-8703
Phone (205) 664-4051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-047753 | Other | AL | STATE LICENSE |
Other names 1
- Miss Amanda Tucker
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047753 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Alabama Hematology & Oncology, P.C. | Past | Accepting new patients | |
| Central Alabama Oncology, L.L.C. | Past | Accepting new patients |
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.
-
- Hematology & Oncology Physician
- Alabaster, AL
- NPI 1578701777
-
- Hematology & Oncology Physician
- Alabaster, AL
- NPI 1659428811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1063475846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 1ST ST N",
"address_2": "CENTRAL ALABAMA ONCOLOGY, LLC",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078703",
"telephone_number": "205-664-4051",
"fax_number": "205-664-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 1ST ST N",
"address_2": "CENTRAL ALABAMA ONCOLOGY, LLC",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078703",
"telephone_number": "205-664-4051",
"fax_number": "205-664-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANISS",
"first_name": "AMANDA",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "RN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1047753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1-047753",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "TUCKER",
"prefix": "MISS",
"credential": "RN, CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.