Individual provider Active NPI

Adrienne Aultman, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1073314514
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-119367 Issued in AL
Practice address
7125 University CT
Montgomery, AL 36117-8016
Phone
(334) 239-2622
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-119367 AL Primary

Addresses

Primary practice location

7125 University CT
Montgomery, AL 36117-8016

Mailing address

1941 Redhawk Dr
Enterprise, AL 36330-8055
Phone (334) 406-0176

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
I20250403003154 AL Practitioner - Nurse Practitioner 8729502471 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-119367ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Alabama Mental Health Board Inc CurrentSince Jul 2, 2025 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Mar 12, 2025 Accepting new patients
Montgomery Area Mental Health Authority Inc CurrentSince Jul 25, 2025 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

19815 Bay Branch Rd
Andalusia, AL 36420
Phone (334) 222-2523

820 S Three Notch St
Ste B
Andalusia, AL 36420
Phone (334) 222-2485

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

7125 University Ct
Montgomery, AL 36117

Organizations & group practices 4

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": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1073314514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 REDHAWK DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308055",
            "telephone_number": "334-406-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 UNIVERSITY CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178016",
            "telephone_number": "334-239-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULTMAN",
        "first_name": "ADRIENNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-119367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.