Organization Active NPI

Womens Healthcare Center LLC

  • Obstetrics & Gynecology Physician
  • Andalusia, AL
National Provider Identifier
1124257209
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO833 Issued in AL
Legal business name
WOMENS HEALTHCARE CENTER LLC
Practice address
215 Medical Park Dr
Suite 1
Andalusia, AL 36420-5354
Phone
(334) 222-1583
Fax
(334) 222-1573
NPI assigned
Jul 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Ms. Stella L. Vinson, NP
Title
NP/President
Phone
(334) 222-1583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X DO833 AL Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 1061816 AL

Addresses

Primary practice location

215 Medical Park Dr
Suite 1
Andalusia, AL 36420-5354

Mailing address

215 Medical Park Dr
Suite 1
Andalusia, AL 36420-5354
Phone (334) 222-1583

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1124257209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MEDICAL PARK DR",
            "address_2": "SUITE 1",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205354",
            "telephone_number": "334-222-1583",
            "fax_number": "334-222-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MEDICAL PARK DR",
            "address_2": "SUITE 1",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205354",
            "telephone_number": "334-222-1583",
            "fax_number": "334-222-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "NP/PRESIDENT",
        "authorized_official_telephone_number": "334-222-1583",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "DO833",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1061816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.