Individual provider Active NPI

Amy Beth Hall, CRNP

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1265815732
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-124893 Issued in AL
Practice address
122 E Tennessee St
Florence, AL 35630-5655
Phone
(256) 764-9830
Fax
(256) 764-9832
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-124893 AL Primary

Addresses

Primary practice location

122 E Tennessee St
Florence, AL 35630-5655

Mailing address

122 E Tennessee St
Florence, AL 35630-5655
Phone (256) 764-9830

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
I20170921002796 AL Practitioner - Nurse Practitioner 5294032405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Options Wellness, LLPGroup PAC ID 2365890779, 2 clinicians

Practice addresses (Care Compare)

1005 Avalon Ave
Muscle Shoals, AL 35661-2401
Phone (256) 866-3441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-124893ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of the Shoals PC Family CurrentSince Sep 1, 2019 Accepting new patients
Options Wellness, LLP Family CurrentSince Oct 1, 2023 Accepting new patients
Lauderdale Radiology Group LLP PastSince Sep 1, 2019 Accepting new patients
Florence Family Practice Past Accepting new patients
Southern Dermatology Center, PC Past Accepting new patients

Locations

2095 Florence Blvd
Florence, AL 35630
Phone (256) 766-2310

1005 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 866-3441

1640 S Wilson Dam Rd
Ste B
Muscle Shoals, AL 35661
Phone (256) 248-4069

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1265815732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E TENNESSEE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305655",
            "telephone_number": "256-764-9830",
            "fax_number": "256-764-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E TENNESSEE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305655",
            "telephone_number": "256-764-9830",
            "fax_number": "256-764-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.