Individual provider Active NPI

Emily Cork, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1245620236
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-102595 Issued in AL
Practice address
1104 Monroe St SW
Huntsville, AL 35801-5029
Phone
(256) 265-5864
Fax
(256) 265-5865
NPI assigned
Jan 28, 2015
Last updated
Apr 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-102595 AL Primary
Gerontology Nurse Practitioner 363LG0600X 1-102595 AL

Addresses

Primary practice location

1104 Monroe St SW
Huntsville, AL 35801-5029

Mailing address

1104 Monroe St SW
Huntsville, AL 35801-5029
Phone (256) 265-5864

Other identifiers 1

IdentifierTypeStateIssuer
180998MedicaidAL

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
I20150424000408 AL Practitioner - Nurse Practitioner 5496074494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

1104 Monroe St SW
Huntsville, AL 35801-5029
Phone (256) 265-5864

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Hospital Lung Center CurrentSince Feb 1, 2015 Accepting new patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients

Locations

1215 7th St SE
Ste 300
Decatur, AL 35601
Phone (256) 265-5977

1104 Monroe St SW
Huntsville, AL 35801
Phone (256) 265-7000

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

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.

Hospital & facility affiliations 2

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1245620236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MONROE ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015029",
            "telephone_number": "256-265-5864",
            "fax_number": "256-265-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MONROE ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015029",
            "telephone_number": "256-265-5864",
            "fax_number": "256-265-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORK",
        "first_name": "EMILY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-102595",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-102595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180998",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.