William W Recknor, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-128513 Issued in AL

Practice address

52 Medical Park Dr E
Ste 115
Birmingham, AL 35235-3430

Phone

(205) 838-3900

Fax

(205) 838-3906

NPI assigned

Apr 22, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Orthopedic Spine and Sports Medicine Associates P CGroup PAC ID 5395643068, 46 clinicians

Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Alabama Orthopedic Spine & Sports Medicine Associates P C

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1659344984
  Medicare reassignment Care Compare group NPD
• Oak Mountain Group Services, LLC

  • Hospitalist Physician
  • Birmingham, AL
  • NPI 1366840761
  Medicare reassignment NPD
• Champion Sports Medicine Birmingham, LLC.

  dba Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516
  Care Compare group
• Oak Mountain Group Services, LLC

  • Physical Medicine & Rehabilitation Physician
  • Vestavia Hills, AL
  • NPI 1609321165
  NPD
• Urology Centers of Alabama PC

  dba UCA Specialty Pharmacy

  • Community/Retail Pharmacy
  • Homewood, AL
  • NPI 1023861796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1083001523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "STE 115",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "STE 115",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKNOR",
        "first_name": "WILLIAM",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-128513",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-128513",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-128513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Rebar
• Rebecca Jones LLC
• Taylor Reblin, CRNP
• Rebound, LLC (Encompass Health Lakeshore Rehabilitation Hospital)
• Rebyldllc
• Robert R Record, MD
• Tate Record
• Recreantur Home Health Services (Recreantur Home Health)
• Alfred Randolph Rector, M.D.
• Emily Rector, M.S., CCC-A

• Adult Health Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.