Ranburne Community Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-092465 Issued in AL

Legal business name

RANBURNE COMMUNITY CLINIC

Practice address

22931 Main St
Ranburne, AL 36273-4114

Phone

(256) 568-9646

Fax

(256) 568-9647

NPI assigned

May 14, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Edwards Moore, PHD

Title

Owner Ceo

Phone

(770) 258-7060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1184830762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22931 MAIN ST",
            "city": "RANBURNE",
            "state": "AL",
            "postal_code": "362734114",
            "telephone_number": "256-568-9646",
            "fax_number": "256-568-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22931 MAIN ST",
            "city": "RANBURNE",
            "state": "AL",
            "postal_code": "362734114",
            "telephone_number": "256-568-9646",
            "fax_number": "256-568-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANBURNE COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "770-258-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-092465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hall
• Emmie Norrell Longshore
• Ashlyn Mott
• Hannah Pollard, NP-C
• Katherine R Young, CCC-SLP

• Family Nurse Practitioner in Ranburne, AL
• Providers in Ranburne, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.