Individual provider Active NPI

Ana Rosa Armenta

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1255046256
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-162268 Issued in AL
Practice address
710 W Hobbs St
Athens, AL 35611-1508
Phone
(256) 800-2105
Fax
(256) 800-2107
NPI assigned
Jan 16, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 1-162268 AL Primary

Addresses

Primary practice location

710 W Hobbs St
Athens, AL 35611-1508

Mailing address

710 W Hobbs St
Athens, AL 35611-1508
Phone (256) 800-2105

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
I20231011002807 AL Practitioner - Nurse Practitioner 1355796368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-162268ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Medical Clinic, LLC Family CurrentSince Aug 30, 2023 Accepting new patients
Hometown Pediatrics LLC PastSince Apr 1, 2020 Accepting new patients

Locations

710 W Hobbs St
Athens, AL 35611
Phone (256) 262-6380

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1255046256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111508",
            "telephone_number": "256-800-2105",
            "fax_number": "256-800-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111508",
            "telephone_number": "256-800-2105",
            "fax_number": "256-800-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTA",
        "first_name": "ANA",
        "middle_name": "ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-162268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.