Active NPI
Robert Eugene Presson III, CRNP
- Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1255962973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-135159
- Practice address
- 101 Sivley Rd SW
Huntsville, AL 35801-4421 - Phone
- (256) 265-1000
- NPI assigned
- Jan 31, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-135159 | AL | Primary |
Addresses
Primary practice location
101 Sivley Rd SW
Huntsville, AL 35801-4421
Mailing address
114 Breezy Pointe LN
Huntsville, AL 35811-4605
Phone (256) 975-7060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-135159 | Other | AL | RN LICENSE NUMBER |
| 8377 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-135159 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1255962973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BREEZY POINTE LN",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358114605",
"telephone_number": "256-975-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SIVLEY RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014421",
"telephone_number": "256-265-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESSON",
"first_name": "ROBERT",
"middle_name": "EUGENE",
"name_suffix": "III",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-135159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE NUMBER",
"identifier": "1-135159",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP RX NUMBER",
"identifier": "8377",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.