NPIMap

Organization Active NPI

Image of Eve Restored, Inc

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
National Provider Identifier
1083154785
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
IMAGE OF EVE RESTORED, INC
Practice address
185 Whitesport Dr SW
Suite 6
Huntsville, AL 35801-6486
Phone
(256) 937-7050
NPI assigned
Feb 28, 2017
Last updated
Mar 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Dr. Lilith Whyte, MDNPI 1316986334
Title
Owner
Phone
(256) 937-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

185 Whitesport Dr SW
Suite 6
Huntsville, AL 35801-6486

Mailing address

PO Box 11384
Huntsville, AL 35814-1384
Phone (256) 937-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170419000314 AL Part B Supplier - Clinic/Group Practice 7214213644 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

185 Whitesport Dr SW
Ste 6
Huntsville, AL 35801
Phone (256) 650-0306

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1083154785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11384",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358141384",
            "telephone_number": "256-937-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW",
            "address_2": "SUITE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016486",
            "telephone_number": "256-937-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE OF EVE RESTORED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "LILITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-937-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.