Individual provider Active NPI

Rachael Carter, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1124595947
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-155705 Issued in AL
Practice address
6280 Grelot Rd
Mobile, AL 36609-3614
Phone
(251) 288-5606
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-155705 AL Primary

Addresses

Primary practice location

6280 Grelot Rd
Mobile, AL 36609-3614

Mailing address

1500 1St Ave N Unit 3M135
Birmingham, AL 35203-1865
Phone (120) 554-5509

Other identifiers 1

IdentifierTypeStateIssuer
174613MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514001332 AL Practitioner - Nurse Practitioner 5294078366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Alabama South LLC CurrentSince Mar 22, 2020 Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 30, 2019 Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 30, 2019 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1500 1st Ave N
Unit 3M135
Birmingham, AL 35203

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

4321 Downtowner Loop N
Mobile, AL 36609
Phone (251) 471-5277

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

Interoperability endpoints

  • Direct secure messaging: rcarter@shs-al1.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1124595947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3M135",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031865",
            "telephone_number": "120-554-5509",
            "fax_number": "205-769-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 GRELOT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093614",
            "telephone_number": "251-288-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "RACHAEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-155705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174613",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.