Active NPI
Autumn Stanford, Pmhnp-BC, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1275304388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- AUTUMN STANFORD, PMHNP-BC, LLC
- Practice address
- 1001 Beaumont Avenue
Suite 102
Birmingham, AL 35242 - Phone
- (615) 295-1914
- NPI assigned
- Jan 9, 2024
- Last updated
- Jan 31, 2024
- 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
- Autumn Lynn Stanford, PMHNP-BC
- Title
- Owner
- Phone
- (615) 295-1914
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1001 Beaumont Avenue
Suite 102
Birmingham, AL 35242
Mailing address
1001 Beaumont Avenue
Suite 102
Birmingham, AL 35242
National Provider Directory
National Provider DirectoryLocations
1001 Beaumont Ave
Ste 102
Hoover, AL 35242
Phone (205) 356-7836
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
- NPI 1467103721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1275304388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BEAUMONT AVENUE",
"address_2": "SUITE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BEAUMONT AVENUE",
"address_2": "SUITE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "615-295-1914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN STANFORD, PMHNP-BC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "STANFORD",
"authorized_official_first_name": "AUTUMN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-295-1914",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.