Active NPI
Truecare Medical Clinic, LLC
- Family Medicine Physician
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRUECARE MEDICAL CLINIC, LLC
- Practice address
- 613 Gault Ave S
Fort Payne, AL 35967-1625 - Phone
- (256) 364-8875
- Fax
- (256) 364-8875
- NPI assigned
- Jun 27, 2022
- Last updated
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heather N Noojin, CRNP
- Title
- Owner
- Phone
- (256) 601-6636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
613 Gault Ave S
Fort Payne, AL 35967-1625
Mailing address
PO Box 680622
Fort Payne, AL 35968-1607
Phone (256) 364-8875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2263513 | Truecare Medical Clinic, LLC | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
613 Gault Ave S
Fort Payne, AL 35967
Phone (256) 364-8875
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Fort Payne, AL
- NPI 1952819039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1265164537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 680622",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359681607",
"telephone_number": "256-364-8875",
"fax_number": "256-364-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 GAULT AVE S",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359671625",
"telephone_number": "256-364-8875",
"fax_number": "256-364-8875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUECARE MEDICAL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-24",
"status": "A",
"authorized_official_last_name": "NOOJIN",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-601-6636",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.