Active NPI
Womens Healthcare Center LLC
- Obstetrics & Gynecology Physician
- Andalusia, AL
National Provider Identifier
1124257209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO833
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO833 | AL | Primary |
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AL |
National Provider Directory
National Provider DirectoryNPI 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.