Individual provider Active NPI

Nina Charissa Hassell, NP

  • Registered Nurse
  • Tuscaloosa, AL
National Provider Identifier
1205534823
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-174590 Issued in AL
Practice address
4700 Rice Mine Rd NE
Tuscaloosa, AL 35406-2647
Phone
(205) 614-5628
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 1-174590 AL Primary

Addresses

Primary practice location

4700 Rice Mine Rd NE
Tuscaloosa, AL 35406-2647

Mailing address

7342 Bayberry Rd
Helena, AL 35022-7218
Phone (205) 475-2739

Other names 1

  • Nina Charissa Dykes Former name

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
I20230418000679 AL Practitioner - Nurse Practitioner 3173998564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-174590ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Urgent Care, LLC CurrentSince Mar 21, 2023 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

4700 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 614-5628

Organizations & group practices 1

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1205534823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 BAYBERRY RD",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350227218",
            "telephone_number": "205-475-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 RICE MINE RD NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062647",
            "telephone_number": "205-614-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELL",
        "first_name": "NINA",
        "middle_name": "CHARISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-174590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "DYKES",
            "middle_name": "CHARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.