Individual provider Active NPI

Delicia Vanterpool, DNP, NP-C

  • Adult Health Nurse Practitioner
  • Madison, AL
National Provider Identifier
1245508860
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-114022 Issued in AL
Practice address
8045 Highway 72 W Ste 200
Madison, AL 35758-9564
Phone
(256) 947-2285
Fax
(800) 293-3860
NPI assigned
Dec 9, 2011
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-114022 AL Primary

Addresses

Primary practice location

8045 Highway 72 W Ste 200
Madison, AL 35758-9564

Mailing address

PO Box 11275
Huntsville, AL 35814-1275
Phone (256) 947-2285

Other names 1

  • Dr. Delicia Hodge 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
I20161229001116 AL Practitioner - Nurse Practitioner 3971884206 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-114022ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kams Transportation and Mobile Health Services CurrentSince Dec 13, 2016 Accepting new patients
Horizons Medical Care, P.C. PastSince Apr 1, 2020 Accepting new patients

Locations

8045 Highway 72 W
#200
Madison, AL 35758
Phone (256) 837-2271

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12371/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBIBBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1245508860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11275",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358141275",
            "telephone_number": "256-947-2285",
            "fax_number": "800-293-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 HIGHWAY 72 W STE 200",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589564",
            "telephone_number": "256-947-2285",
            "fax_number": "800-293-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTERPOOL",
        "first_name": "DELICIA",
        "name_prefix": "Dr.",
        "credential": "DNP,  NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-114022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELICIA",
            "last_name": "HODGE",
            "prefix": "DR.",
            "credential": "DNP, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.