NPIMap

Organization Active NPI

State of Alabama Department of Public Health

  • Family Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1104133693
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-071785 Issued in AL
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Practice address
1175 23Rd Street North
St. Clair County Health Department
Pell City, AL 35125
Phone
(205) 338-3357
Fax
(205) 338-4863
NPI assigned
Sep 7, 2010
Organization subpart
Yes
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Arlinda Leshun Wormely, CRNP
Title
CRNP/Nurse Practitioner
Phone
(205) 338-3357

National Provider Directory

National Provider Directory
Tax ID family
St Clair County Health Dept-Ashville AIDS1,340 organizations share this tax ID, including this one
Part of
St Clair County Health Dept-Ashville AIDS

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-071785 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

1175 23Rd Street North
St. Clair County Health Department
Pell City, AL 35125

Mailing address

1175 23Rd Street North
St. Clair County Health Department
Pell City, AL 35125
Phone (205) 338-3357

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2010.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1104133693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 23RD STREET NORTH",
            "address_2": "ST. CLAIR COUNTY HEALTH DEPARTMENT",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35125",
            "telephone_number": "205-338-3357",
            "fax_number": "205-338-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 23RD STREET NORTH",
            "address_2": "ST. CLAIR COUNTY HEALTH DEPARTMENT",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35125",
            "telephone_number": "205-338-3357",
            "fax_number": "205-338-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC  HEALTH",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "WORMELY",
        "authorized_official_first_name": "ARLINDA",
        "authorized_official_middle_name": "LESHUN",
        "authorized_official_title_or_position": "CRNP/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-338-3357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-071785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.