Active NPI
Angela Rene' Pontius, FNP-C
- General Practice Registered Nurse
- Birmingham, AL
National Provider Identifier
1255720348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 1-087382
- Practice address
- ZRB 239
1720 2ND Avenue South
Birmingham, AL 35294-0007 - Phone
- (205) 996-2780
- Fax
- (205) 975-7764
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 1-087382 | AL | Primary |
Addresses
Primary practice location
ZRB 239
1720 2ND Avenue South
Birmingham, AL 35294-0007
Mailing address
1931 9TH Ave S
155 Community Care Building
Birmingham, AL 35294-0007
Phone (205) 996-2780
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #F0614047 | Other | AL | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION |
| 1-087382 | Other | AL | ALABAMA BOARD OF NURSING LICENSE |
| 4651 | Other | AL | CRNP RX NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-087382 | AL | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1255720348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 9TH AVE S",
"address_2": "155 COMMUNITY CARE BUILDING",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940007",
"telephone_number": "205-996-2780",
"fax_number": "205-975-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ZRB 239",
"address_2": "1720 2ND AVENUE SOUTH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940007",
"telephone_number": "205-996-2780",
"fax_number": "205-975-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTIUS",
"first_name": "ANGELA",
"middle_name": "RENE'",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AL",
"license": "1-087382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION",
"identifier": "#F0614047",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF NURSING LICENSE",
"identifier": "1-087382",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP RX NUMBER",
"identifier": "4651",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.