Sabah Shamsuddin Angeles, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Birmingham, AL
NPI 1164066767 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1164066767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-142623 (AL)
- Practice address
- 1720 7TH Ave S
Birmingham, AL 35233-1718 - Phone
- (205) 934-8972
- Fax
- (205) 975-9600
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220224002126 | AL | Practitioner - Nurse Practitioner | 1759775364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-142623 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1720 7th Ave S
Birmingham, AL 35233
Phone (205) 934-5151
500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440
Interoperability endpoints
- sshamsuddin@direct.uabmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-142623 | AL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-142623 | AL | Yes |
Addresses
Primary practice location
1720 7TH Ave S
Birmingham, AL 35233-1718
Mailing address
350 Appleford Rd
Helena, AL 35080-6808
Phone (205) 370-1319
Other practice location 1
350 Appleford Rd
Helena, AL 35080-6808
Phone (205) 370-1319
Other practice location 2
500 22nd St S
Birmingham, AL 35233-3110
Phone (205) 934-1518
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sshamsuddin@direct.uabmedicine.org | Direct | University of Alabama Hospital |
Other providers in Birmingham, AL
- Anesthesiology and Pain Medicine, P.C.
- Anesthesiology Services
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- Angel Wing'S Transport, LLC
- Denah Angel
- Angelica R Rohner DMD PA
- Margaret D. Angelillo
- Angels Giving Back Home Health
- Angels of Central Alabama
- Laura Michelle Angers
All providers in Birmingham, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.