Rita Wiggins Branch, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-105375 Issued in AL

Practice address

600 Sun Temple Dr
Madison, AL 35758-8643

Phone

(256) 325-2691

Fax

(256) 429-9411

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151
  Medicare reassignment NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD
• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1104423235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-975-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-325-2691",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12350 Flint Dr",
            "address_purpose": "LOCATION",
            "city": "Moundville",
            "state": "AL",
            "postal_code": "354746246",
            "country_code": "US",
            "telephone_number": "334-507-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "RITA",
        "middle_name": "WIGGINS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-105375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Brackin, DPT
• Andrew Day Bradford, OD
• Mara Bradford, RBT
• Jatavia Bradley, MS
• Brittany Leigh Brakefield, FNP-C
• Lillian Teicher Branham, NP
• Emily Kate Brannon
• Jeffrey D Brassart, M.D.
• Magdaline Hicks Braxton, LMFT
• Bryan Brazelle

• Family Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.