Active NPI
Astra Autumn Amonett
- Registered Nurse
- Spanish Fort, AL
National Provider Identifier
1275153298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-119877
- Practice address
- 8555 Buckingham CT
Spanish Fort, AL 36527-5286 - Phone
- (251) 348-9179
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
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 LLC
Practice addresses (Care Compare)
1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200
Hospital & facility affiliations
- Mobile Infirmary Medical Center
- Thomas Hospital
- North Baldwin Infirmary
- Grove Hill Memorial Hospital
- Jackson Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101002129 | AL | Practitioner - Nurse Practitioner | 4880082452 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-119877 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | 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
- aamonett101769@directinfirmaryhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-119877 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8555 Buckingham CT
Spanish Fort, AL 36527-5286
Mailing address
1701 University Blvd
Birmingham, AL 35233-1815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2020.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.