Active NPI
Back to Basics Healthcare LLC
- Family Nurse Practitioner
- Albertville, AL
National Provider Identifier
1093349920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BACK TO BASICS HEALTHCARE LLC
- Practice address
- 5730 US Highway 431
Albertville, AL 35950-0234 - Phone
- (256) 907-9700
- Fax
- (256) 907-9724
- NPI assigned
- Feb 29, 2020
- Last updated
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Robin Scott, CRNP
- Title
- Owner
- Phone
- (256) 302-3773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5730 US Highway 431
Albertville, AL 35950-0234
Mailing address
5730 US Highway 431
Albertville, AL 35950-0234
Phone (256) 907-9700
Other practice location 1
5722 US Highway 431
Albertville, AL 35950-0234
Phone (256) 907-9700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245695667 | Other | AL | NPI |
| 1801102959 | Other | AL | NPI |
| 1588103295 | Other | AL | NPI |
| 1942830716 | Other | AL | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1093349920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 US HIGHWAY 431",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359500234",
"telephone_number": "256-907-9700",
"fax_number": "256-907-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 US HIGHWAY 431",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359500234",
"telephone_number": "256-907-9700",
"fax_number": "256-907-9724"
}
],
"practiceLocations": [
{
"address_1": "5722 US Highway 431",
"address_purpose": "LOCATION",
"city": "Albertville",
"state": "AL",
"postal_code": "359500234",
"country_code": "US",
"telephone_number": "256-907-9700",
"fax_number": "256-907-9724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BACK TO BASICS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-29",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-302-3773",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1245695667",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1801102959",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1588103295",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1942830716",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.