Individual provider Active NPI

Lillian Dawn Camp-Sorrell, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1215958210
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-040448 Issued in AL
Practice address
1600 7TH Ave, So
Suite 512
Birmingham, AL 35233-6979
Phone
(205) 939-9285
Fax
(205) 975-1941
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-040448 AL Primary

Addresses

Primary practice location

1600 7TH Ave, So
Suite 512
Birmingham, AL 35233-6979

Mailing address

1600 7TH Ave, South
Birmingham, AL 35233-6979
Phone (205) 939-9285

Other identifiers 7

IdentifierTypeStateIssuer
891010410MedicaidAL
P00228283OtherALRAILROAD MEDICARE
891010420MedicaidAL
51528158OtherALBLUE CROSS BLUE SHIELD
051555888MedicaidAL
51528914OtherALBLUE CROSS BLUE SHIELD
51555888OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-040448ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology & Oncology Associates of Alabama LLC Past Accepting new patients
Central Alabama Oncology, L.L.C. Past Accepting new patients
Central Alabama Hematology & Oncology, P.C. Past Accepting new patients

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1215958210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE, SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352336979",
            "telephone_number": "205-939-9285",
            "fax_number": "205-975-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE, SO",
            "address_2": "SUITE 512",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352336979",
            "telephone_number": "205-939-9285",
            "fax_number": "205-975-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP-SORRELL",
        "first_name": "LILLIAN",
        "middle_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-040448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891010410",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00228283",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891010420",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51528158",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555888",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51528914",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51555888",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.