Organization Active NPI

Back to Basics Healthcare LLC

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1093349920
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245695667OtherALNPI
1801102959OtherALNPI
1588103295OtherALNPI
1942830716OtherALNPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.