Active NPI
Lynette Marie Nelson, CRNP
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1144853524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29794
- Practice address
- 4800 Whitesport Cir SW Ste 1
Huntsville, AL 35801-6443 - Phone
- (256) 327-0888
- Fax
- (256) 327-0888
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29794 | AL | Primary |
Addresses
Primary practice location
4800 Whitesport Cir SW Ste 1
Huntsville, AL 35801-6443
Mailing address
4800 Whitesport Cir SW Ste 1
Huntsville, AL 35801-6443
Phone (256) 327-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29794 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1144853524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 WHITESPORT CIR SW STE 1",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016443",
"telephone_number": "256-327-0888",
"fax_number": "256-327-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 WHITESPORT CIR SW STE 1",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016443",
"telephone_number": "256-327-0888",
"fax_number": "256-327-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LYNETTE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "29794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.