Alisha L Thacker, DNP, CRNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2056316439 Issued in AL

Practice address

527 Fieldstown Rd Ste C
Gardendale, AL 35071-4419

Phone

(205) 631-5671

Fax

(205) 631-6439

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Hoover, AL, CCN 017153

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alisha.thacker.1@15135.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

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.

• Birmingham Internal Medicine Associates, LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598796542

  Family

  Medicare reassignment Care Compare group NPD
• Norwood Clinic Inc

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1104879741
  NPD (past)

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

• Comfort Care Home Health Services LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1851350334
  Care Compare affiliation

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1144962598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 FIELDSTOWN RD STE C",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350714419",
            "telephone_number": "205-631-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 FIELDSTOWN RD STE C",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350714419",
            "telephone_number": "205-631-5671",
            "fax_number": "205-631-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "ALISHA",
        "middle_name": "L",
        "credential": "DNP, CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "2056316439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Salley Taylor, CCC-SLP
• Rhyann Noel Taylor
• Elizabeth Hope Tedescucci
• Jeffrey A. Terrell, P.T.
• Julia Ann Terrell, CRNP
• Theraplay Pediatric Sensory Gym
• Therapy South Gardendale LLC
• Thomas a Douyard (Gardendale Dental Care)
• Dolores Davenport Thomas, CRNP
• Harley Danielle Thomas

• Family Nurse Practitioner in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.