Individual provider Active NPI

Amy Dooley-Speegle, CRNP

  • Adult Health Nurse Practitioner
  • Florence, AL
National Provider Identifier
1134466618
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-070801 Issued in AL
Practice address
416 N Seminary St
Suite 3100
Florence, AL 35630-4688
Phone
(256) 766-8667
Fax
(256) 767-5327
NPI assigned
Jan 3, 2013
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-070801 AL Primary

Addresses

Primary practice location

416 N Seminary St
Suite 3100
Florence, AL 35630-4688

Mailing address

416 N Seminary St
Suite 3100
Florence, AL 35630-4688
Phone (256) 766-8667

Other identifiers 1

IdentifierTypeStateIssuer
1134466618MedicaidAL

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
I20130410000619 AL Practitioner - Nurse Practitioner 7618113911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

416 N Seminary St
Suite 3100
Florence, AL 35630-6408
Phone (256) 766-8667

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

416 N Seminary St
Ste 3100
Florence, AL 35630
Phone (256) 766-8667

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

203 Avalon Ave
Ste 240
Muscle Shoals, AL 35661
Phone (256) 386-4969

Interoperability endpoints

  • Direct secure messaging: amy.dooley-speegle.1@6269.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1134466618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N SEMINARY ST",
            "address_2": "SUITE 3100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304688",
            "telephone_number": "256-766-8667",
            "fax_number": "256-767-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N SEMINARY ST",
            "address_2": "SUITE 3100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304688",
            "telephone_number": "256-766-8667",
            "fax_number": "256-767-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY-SPEEGLE",
        "first_name": "AMY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-070801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134466618",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.