Individual provider Active NPI

Tandy R Hoover, CRNP

  • Family Nurse Practitioner
  • Carbon Hill, AL
National Provider Identifier
1104335884
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-136083 Issued in AL
Practice address
217 Bulldog Blvd
Carbon Hill, AL 35549-3734
Phone
(205) 724-9041
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 1-136083 AL Primary

Addresses

Primary practice location

217 Bulldog Blvd
Carbon Hill, AL 35549-3734

Mailing address

PO Box 169
Parrish, AL 35580-0169
Phone (205) 686-5113

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
I20180413000987 AL Practitioner - Nurse Practitioner 2567725104 Reassigns benefits to 2 organizations

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
Capstone HealthGroup PAC ID 7719990316, 13 clinicians

Practice addresses (Care Compare)

5947 Hwy 269
Parrish, AL 35580-3847
Phone (205) 686-5113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2019 Accepting new patients
Capstone Health CurrentSince Jan 4, 2024 Accepting new patients
Capstone Health CurrentSince Jan 4, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

217 Bulldog Blvd
Carbon Hill, AL 35549
Phone (205) 724-9041

960 Mount Olive Rd
Gardendale, AL 35071
Phone (205) 263-0952

5947 Highway 269
Parrish, AL 35580
Phone 20568651337204

Interoperability endpoints

  • Direct secure messaging: tandy.hoover.1@16425.direct.athenahealth.com
  • Direct secure messaging: trhoover@direct.uabmedicine.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1104335884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "PARRISH",
            "state": "AL",
            "postal_code": "355800169",
            "telephone_number": "205-686-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BULLDOG BLVD",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "355493734",
            "telephone_number": "205-724-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "TANDY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbon Hill, AL

Sources for this page

Verify at the official NPI Registry.