Individual provider Active NPI

Amy Barrett Meacham, CRNP

  • Family Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1245336676
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-084325 Issued in AL
Practice address
3504 Highway 280
Alexander City, AL 35010-3371
Phone
(256) 329-7887
Fax
(256) 329-7898
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 1-084325 AL Primary

Addresses

Primary practice location

3504 Highway 280
Alexander City, AL 35010-3371

Mailing address

3504 Highway 280
Alexander City, AL 35010-3371
Phone (256) 329-7887

Other identifiers 2

IdentifierTypeStateIssuer
891007240MedicaidAL
051520066OtherALBCBS

Other names 1

  • Amy Barrett Sassano 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
I20040909001322 AL Practitioner - Nurse Practitioner 0345216305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Hospital CorporationGroup PAC ID 6406754431, 48 clinicians

Practice addresses (Care Compare)

3504 Hwy 280
Alexander City, AL 35010-3371
Phone (256) 329-7887

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Russell Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Pricare, PA CurrentSince Feb 1, 2004 Accepting new patients
The Russell Hospital Corporation Past Accepting new patients

Locations

44 Aliant Pkwy
Alexander City, AL 35010
Phone (256) 234-4131

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

3504 Highway 280
Alexander City, AL 35010
Phone (256) 329-7887

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11536/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1245336676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103371",
            "telephone_number": "256-329-7887",
            "fax_number": "256-329-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103371",
            "telephone_number": "256-329-7887",
            "fax_number": "256-329-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "AMY",
        "middle_name": "BARRETT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-084325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891007240",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051520066",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SASSANO",
            "middle_name": "BARRETT",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.