Individual provider Active NPI

Cameron Stephenson, NP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1174080402
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-126493 Issued in AL
Practice address
3686 Grandview Pkwy Ste 600
Birmingham, AL 35243-3406
Phone
(205) 971-3600
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-126493 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 600
Birmingham, AL 35243-3406

Mailing address

3686 Grandview Pkwy Ste 600
Birmingham, AL 35243-3406

Other practice location 1

3686 Grandview Pkwy Ste 720
Birmingham, AL 35243-3408
Phone (205) 971-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cameron.stephenson.1@9954.direct.athenahealth.com

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
I20190425000510 AL Practitioner - Nurse Practitioner 4688916513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-126493ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Apr 15, 2019 Accepting new patients
Affinity Cardiovascular Specialists LLC PastSince Oct 19, 2015 Accepting new patients

Locations

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

3686 Grandview Pkwy
Ste 600
Birmingham, AL 35243
Phone (205) 971-3600

3686 Grandview Pkwy
Ste 720
Birmingham, AL 35243
Phone (205) 971-3600

Interoperability endpoints

  • Direct secure messaging: cameron.stephenson.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 2

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1174080402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 600",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 600",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433406",
            "telephone_number": "205-971-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 Grandview Pkwy Ste 720",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433408",
            "country_code": "US",
            "telephone_number": "205-971-3600",
            "fax_number": "844-772-0468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CAMERON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-126493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cameron.stephenson.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Pkwy Ste 600",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.