Individual provider Active NPI

Alice Elizabeth Lessmann, RN, BSN, CRNP, RNFA

  • Registered Nurse
  • Madison, AL
National Provider Identifier
1154411460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-087718 Issued in AL
Practice address
130 Tidewater Dr
Madison, AL 35758-9412
Phone
(256) 658-3222
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-087718 AL Primary

Addresses

Primary practice location

130 Tidewater Dr
Madison, AL 35758-9412

Mailing address

5300 57TH St N
Birmingham, AL 35217-3328
Phone (256) 922-0590

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-087718ALMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154411460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 57TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352173328",
            "telephone_number": "256-922-0590",
            "fax_number": "256-325-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TIDEWATER DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589412",
            "telephone_number": "256-658-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSMANN",
        "first_name": "ALICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CRNP, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-087718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.