Individual provider Active NPI

Stephanie Tate, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1134875412
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-109037 Issued in AL
Practice address
119 Longwood Dr SW
Huntsville, AL 35801-4522
Phone
(256) 533-6488
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-109037 AL Primary

Addresses

Primary practice location

119 Longwood Dr SW
Huntsville, AL 35801-4522

Mailing address

227 Bonaire Dr
Huntsville, AL 35811-7814
Phone (256) 797-1675

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
I20220328001634 AL Practitioner - Nurse Practitioner 0840685905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Colon and Digestive Disease P CGroup PAC ID 5193781813, 15 clinicians

Practice addresses (Care Compare)

119 Longwood Dr SW
Huntsville, AL 35801-4522
Phone (256) 533-6488

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Merit-based Incentive Payment System (MIPS)

Final score
58.82 of 100Reported as group
Quality
71.11
Promoting interoperability
0
Improvement activities
40
Cost
74.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-109037ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Colon and Digestive Disease P C CurrentSince Mar 21, 2022 Accepting new patients
Heca, LLC Past Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488

2007 Gallatin St SW
Huntsville, AL 35801
Phone (256) 519-2919

460 Lanier Rd
Ste 201
Madison, AL 35758
Phone (256) 519-2890

8263 Madison Blvd
Ste E
Madison, AL 35758
Phone (256) 533-6488

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEHCA

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.

Hospital & facility affiliations 3

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1134875412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BONAIRE DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358117814",
            "telephone_number": "256-797-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LONGWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014522",
            "telephone_number": "256-533-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-109037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.