Individual provider Active NPI

Sharon Rose Lettrich, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1104334341
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-109444 Issued in AL
Practice address
1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525
Phone
(205) 557-7022
Fax
(205) 831-2849
NPI assigned
Jan 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-109444 AL Primary

Addresses

Primary practice location

1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

11206 Al 25
Calera, AL 35040
Phone (205) 668-0941

Other practice location 2

3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017

Other practice location 3

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328001767 AL Practitioner - Nurse Practitioner 5496017683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

1687 Ctr Point Pkwy
Suite 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-109444ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Alabama, LLC Family CurrentSince Nov 17, 2021 Accepting new patients

Locations

633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1104334341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 CENTER POINT PKWY STE 121",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155525",
            "telephone_number": "205-557-7022",
            "fax_number": "205-831-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11206 AL 25",
            "address_purpose": "LOCATION",
            "city": "Calera",
            "state": "AL",
            "postal_code": "35040",
            "country_code": "US",
            "telephone_number": "205-668-0941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064040",
            "country_code": "US",
            "telephone_number": "251-271-7017",
            "fax_number": "251-220-5536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETTRICH",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.