Individual provider Active NPI

Nicole Alexis Baren

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
National Provider Identifier
1154767671
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
S10583 Issued in AL
Practice address
800 Lakeshore Dr
Birmingham, AL 35229-0001
Phone
(205) 726-2011
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
S10583ALMDStudent in an Organized Health Care Education/Training Program

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S10583 AL Primary

Addresses

Primary practice location

800 Lakeshore Dr
Birmingham, AL 35229-0001

Mailing address

3262 Hillard Dr
Mountain BRK, AL 35243-4927

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1154767671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 HILLARD DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352434927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LAKESHORE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352290001",
            "telephone_number": "205-726-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREN",
        "first_name": "NICOLE",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "S10583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.