Individual provider Active NPI

Faith Danielle Gosa, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1245845452
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-176251 Issued in AL
Practice address
1700 6TH Ave S
Birmingham, AL 35233-1802
Phone
(205) 934-7310
NPI assigned
Sep 14, 2020
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-176251 AL
Family Nurse Practitioner 363LF0000X 1-176251 AL Primary

Addresses

Primary practice location

1700 6TH Ave S
Birmingham, AL 35233-1802

Mailing address

2039 Adelshiem Cir SW
Cullman, AL 35055-5577
Phone (205) 717-9544

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
I20230213001007 AL Practitioner - Nurse Practitioner 1557733946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
After Hours Clinic IncGroup PAC ID 4880635945, 8 clinicians
After Hours Clinic Inc SumitonGroup PAC ID 3375624182, 6 clinicians

Practice addresses (Care Compare)

1800 Birmingham Ave
Jasper, AL 35501-5461
Phone (205) 384-4585

292 Bryan Rd
Sumiton, AL 35148-3445
Phone (205) 648-0240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Clinic Inc CurrentSince Oct 19, 2023 Accepting new patients
Farouk a. Raquib, M.D., P.C. CurrentSince Dec 1, 2022 Accepting new patients
After Hours Clinic Inc Sumiton CurrentSince Oct 19, 2023 Accepting new patients

Locations

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

125 Bob Lawrence Dr
Winfield, AL 35594
Phone (205) 487-4535

125 Bob Lawrence Dr
Ste C
Winfield, AL 35594
Phone (205) 487-4535

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, 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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1245845452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 ADELSHIEM CIR SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555577",
            "telephone_number": "205-717-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331802",
            "telephone_number": "205-934-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSA",
        "first_name": "FAITH",
        "middle_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-176251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-176251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.