Organization Active NPI

Healthsource of Harvest

  • Chiropractor
  • Harvest, AL
National Provider Identifier
1265701122
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
#2111 Issued in AL
Legal business name
HEALTHSOURCE OF HARVEST
Practice address
5850 Highway 53
Ste. N
Harvest, AL 35749-4301
Phone
(256) 852-2000
Fax
(256) 852-2232
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mrs. Amy Catherine Lawrence, D.C.
Title
Partner/Chiropractor
Phone
(256) 852-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X #2111 AL Primary

Addresses

Primary practice location

5850 Highway 53
Ste. N
Harvest, AL 35749-4301

Mailing address

5850 Hwy 53
Suite N
Harvest, AL 35749-4302
Phone (256) 852-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000368 AL Part B Supplier - Clinic/Group Practice 0941469712 Receives reassigned benefits from 2 practitioners
Practice locations: Harvest, AL

National Provider Directory

National Provider Directory

Locations

5850 Highway 53
Ste N
Harvest, AL 35749
Phone (256) 852-2000

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1265701122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 HWY 53",
            "address_2": "SUITE N",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494302",
            "telephone_number": "256-852-2000",
            "fax_number": "256-852-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 HIGHWAY 53",
            "address_2": "STE. N",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494301",
            "telephone_number": "256-852-2000",
            "fax_number": "256-852-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF HARVEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PARTNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "256-852-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "#2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvest, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.