Active NPI
Southern Neonatal Nurse Practitioners, LLC
- Neonatal Nurse Practitioner
- Bessemer, AL
National Provider Identifier
1144796673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- Legal business name
- SOUTHERN NEONATAL NURSE PRACTITIONERS, LLC
- Practice address
- 995 9TH Ave SW
Bessemer, AL 35022-4527 - Phone
- (205) 531-2755
- Fax
- (205) 565-7939
- NPI assigned
- Oct 23, 2018
- Last updated
- Oct 23, 2018
- 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
- Cynthia Galloway, NURSE PRACTITIONER
- Title
- Vice President/CRNP
- Phone
- (205) 531-2755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | NU | Primary |
Addresses
Primary practice location
995 9TH Ave SW
Bessemer, AL 35022-4527
Mailing address
8524 Hayes Rd
Bessemer, AL 35022-7926
Phone (205) 531-2755
Other practice location 1
1000 1st St N
Alabaster, AL 35007-8703
Phone (205) 531-2755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363L00000X | Medicaid | AL | |
| 111EP1111X | Medicaid | AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Critical Care Neonatal Nurse Practitioner
- Birmingham, AL
- NPI 1619159498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540252800000",
"number": "1144796673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8524 HAYES RD",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350227926",
"telephone_number": "205-531-2755",
"fax_number": "205-565-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 9TH AVE SW",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350224527",
"telephone_number": "205-531-2755",
"fax_number": "205-565-7939"
}
],
"practiceLocations": [
{
"address_1": "1000 1st St N",
"address_purpose": "LOCATION",
"city": "Alabaster",
"state": "AL",
"postal_code": "350078703",
"country_code": "US",
"telephone_number": "205-531-2755",
"fax_number": "205-565-7939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHERN NEONATAL NURSE PRACTITIONERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "VICE PRESIDENT/CRNP",
"authorized_official_telephone_number": "205-531-2755",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363L00000X",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111EP1111X",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.