Organization Active NPI

Urgent Care on Wheels LLC

  • Family Nurse Practitioner
  • Pelham, AL
National Provider Identifier
1093466831
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
URGENT CARE ON WHEELS LLC
Practice address
130 Stonehaven Dr
Pelham, AL 35124-3908
Phone
(205) 834-4954
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Alexis Suttles, CRNP
Title
Nurse Practitioner/Owner
Phone
(205) 834-4954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

130 Stonehaven Dr
Pelham, AL 35124-3908

Mailing address

130 Stonehaven Dr
Pelham, AL 35124-3908
Phone (205) 835-2288

National Provider Directory

National Provider Directory

Locations

200 Beacon Pkwy W
Birmingham, AL 35209
Phone (205) 215-4211

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1093466831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STONEHAVEN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243908",
            "telephone_number": "205-835-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONEHAVEN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243908",
            "telephone_number": "205-834-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE ON WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "SUTTLES",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "205-834-4954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.