Individual provider Active NPI

Audrey Elizabeth Cooper, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1144975384
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118491 Issued in AL
Practice address
1720 Center St Ste 101
Mobile, AL 36604-3300
Phone
(251) 410-7621
Fax
(251) 410-7661
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-118491 AL Primary

Addresses

Primary practice location

1720 Center St Ste 101
Mobile, AL 36604-3300

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other practice location 1

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

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
I20230310001191 AL Practitioner - Nurse Practitioner 2466825518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

101 Paul Stabler Dr
Greenville, AL 36037-3133
Phone (334) 382-0734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-118491ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince May 1, 2025 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 13, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 1, 2025 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 13, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 17, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 17, 2023 Accepting new patients

Locations

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

101 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 382-0734

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1720 Center St
Ste 101
Mobile, AL 36604
Phone (251) 410-7621

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1144975384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CENTER ST STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043300",
            "telephone_number": "251-410-7621",
            "fax_number": "251-410-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Dr Martin L King Jr Ave",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366035341",
            "country_code": "US",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AUDREY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.