Organization Active NPI

Southern Neonatal Nurse Practitioners, LLC

  • Neonatal Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1144796673
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Cynthia Galloway, NURSE PRACTITIONERNPI 1619159498
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
363L00000XMedicaidAL
111EP1111XMedicaidAL

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.