Active NPI
Amber Harrison, CRNP
- Family Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-129281
- Practice address
- 4810 Whitesport Cir SW Ste 110
Huntsville, AL 35801-7439 - Phone
- (205) 977-9876
- NPI assigned
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-129281 | AL | Primary |
Addresses
Primary practice location
4810 Whitesport Cir SW Ste 110
Huntsville, AL 35801-7439
Mailing address
4021 Balmoral Dr SW
Huntsville, AL 35801-6403
Phone (256) 539-2741
Other practice location 1
802 Bank St NE
Decatur, AL 35601-1612
Phone (256) 351-1874
Other practice location 2
4021 Balmoral Dr SW
Huntsville, AL 35801-6403
Phone (256) 539-2741
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Sivley Rd SW
Suite 410
Huntsville, AL 35801-5146
Phone (256) 536-3738
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-129281 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Alabama PC | Current | Accepting new patients | |
| Jere H. Weaver | Past | Accepting new patients | |
| Cutaneous Oncology & Surgery Center, LLC | Past | Accepting new patients |
Locations
802 Bank St NE
Decatur, AL 35601
Phone (256) 351-1874
4021 Balmoral Dr SW
Huntsville, AL 35801
Phone (256) 382-0070
4810 Whitesport Cir SW
Ste 110
Huntsville, AL 35801
Phone (256) 539-2531
1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919
1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481
Organizations & group practices 4
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.
-
- Dermatology Physician
- Huntsville, AL
- NPI 1174019541
-
- MOHS-Micrographic Surgery Physician
- Vestavia HLS, AL
- NPI 1477708642
-
- Ambulatory Surgical Clinic/Center
- Vestavia HLS, AL
- NPI 1699139915
-
- Dermatology Physician
- Decatur, AL
- NPI 1851573778
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1114343639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 BALMORAL DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016403",
"telephone_number": "256-539-2741",
"fax_number": "256-539-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 WHITESPORT CIR SW STE 110",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358017439",
"telephone_number": "205-977-9876"
}
],
"practiceLocations": [
{
"address_1": "802 Bank St NE",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "AL",
"postal_code": "356011612",
"country_code": "US",
"telephone_number": "256-351-1874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4021 Balmoral Dr SW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358016403",
"country_code": "US",
"telephone_number": "256-539-2741",
"fax_number": "256-539-6964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "AMBER",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-129281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.