Individual provider Active NPI

Stephanie Alessandra Pedroso, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1255965547
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-150390 Issued in AL
Practice address
207 Longwood Dr SW
Huntsville, AL 35801-5243
Phone
(256) 265-1890
Fax
(256) 265-1891
NPI assigned
Feb 26, 2020
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-150390 AL Primary

Addresses

Primary practice location

207 Longwood Dr SW
Huntsville, AL 35801-5243

Mailing address

207 Longwood Dr SW
Huntsville, AL 35801-5243
Phone (256) 265-1890

Other practice location 1

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 567-7898

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spedroso@uabmc.edu Direct

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
I20200413000679 AL Practitioner - Nurse Practitioner 0749619823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Surgical AssociatesGroup PAC ID 4981604766, 3 clinicians
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

207 Longwood Dr SW
Huntsville, AL 35801-5243
Phone (256) 265-1890

927 Franklin St SE
FL 1
Huntsville, AL 35801-4305
Phone (256) 539-2728

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 6, 2020 Accepting new patients
Madison Surgical Associates CurrentSince Aug 21, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

207 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 265-1890

Interoperability endpoints

  • Direct secure messaging: spedroso@direct.uabmedicine.org

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.

Hospital & facility affiliations 1

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1255965547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LONGWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015243",
            "telephone_number": "256-265-1890",
            "fax_number": "256-265-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LONGWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015243",
            "telephone_number": "256-265-1890",
            "fax_number": "256-265-1891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-567-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROSO",
        "first_name": "STEPHANIE",
        "middle_name": "ALESSANDRA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-150390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spedroso@uabmc.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 6th Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352331932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.