Individual provider Active NPI

Astra Autumn Amonett

  • Registered Nurse
  • Spanish Fort, AL
National Provider Identifier
1275153298
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-119877 Issued in AL
Practice address
8555 Buckingham CT
Spanish Fort, AL 36527-5286
Phone
(251) 348-9179
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-119877 AL Primary

Addresses

Primary practice location

8555 Buckingham CT
Spanish Fort, AL 36527-5286

Mailing address

1701 University Blvd
Birmingham, AL 35233-1815

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
I20211101002129 AL Practitioner - Nurse Practitioner 4880082452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-119877ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Oct 21, 2021 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Oct 21, 2021 Accepting new patients

Locations

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Interoperability endpoints

  • Direct secure messaging: aamonett101769@directinfirmaryhealth.org

Organizations & group practices 2

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 6

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1275153298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 UNIVERSITY BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 BUCKINGHAM CT",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275286",
            "telephone_number": "251-348-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMONETT",
        "first_name": "ASTRA",
        "middle_name": "AUTUMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-119877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.