Active NPI
Julie B Fortenberry, MCD, CCC-A
- Audiologist
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1007A
- Practice address
- 1948 Alabama Hwy 157
Suite 410
Cullman, AL 35058-0643 - Phone
- (256) 737-0368
- Fax
- (256) 734-9530
- NPI assigned
- Sep 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1007A | AL | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 1007A | AL |
Addresses
Primary practice location
1948 Alabama Hwy 157
Suite 410
Cullman, AL 35058-0643
Mailing address
833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118010 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1613
Phone (205) 212-3540
Suite
402 833 St Vincents Dr
Birmingham, AL 35205-1613
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.23 of 100
- Quality
- 90.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Associates of Alabama, P.C. | Current | Accepting new patients | |
| The ENT Center of Central Georgia, P.C. | Past | Accepting new patients |
Locations
833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540
1948 AL Highway 157
Ste 410
Cullman, AL 35058
Phone (205) 734-9370
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Birmingham, AL
- NPI 1841301082
-
- Otolaryngology Physician
- Macon, GA
- NPI 1962449363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1124278080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236",
"fax_number": "205-933-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 ALABAMA HWY 157",
"address_2": "SUITE 410",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580643",
"telephone_number": "256-737-0368",
"fax_number": "256-734-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTENBERRY",
"first_name": "JULIE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MCD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "1007A",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "1007A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118010",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.