Individual provider Active NPI

Melanie Warren, CRNP

  • Family Nurse Practitioner
  • Vestavia, AL
National Provider Identifier
1205589785
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-148948 Issued in AL
Practice address
3735 Corporate Woods Dr Ste 105
Vestavia, AL 35242-2296
Phone
(205) 900-7337
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-148948 AL
Family Nurse Practitioner 363LF0000X 1-148948 AL Primary

Addresses

Primary practice location

3735 Corporate Woods Dr Ste 105
Vestavia, AL 35242-2296

Mailing address

3735 Corporate Woods Dr Ste 105
Vestavia, AL 35242-2296
Phone (205) 900-7337

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
I20230516001417 AL Practitioner - Nurse Practitioner 4385000496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vincentian Physician Services LLC Family CurrentSince Jul 1, 2023 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

1870 Chace Dr
Ste 160
Hoover, AL 35244
Phone (205) 733-7110

Interoperability endpoints

  • Direct secure messaging: melanie.warren.1@9069.direct.athenahealth.com

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1205589785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 CORPORATE WOODS DR STE 105",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422296",
            "telephone_number": "205-900-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 CORPORATE WOODS DR STE 105",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422296",
            "telephone_number": "205-900-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-148948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.