Individual provider Active NPI

Anissa Rochelle Thomas, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1275732570
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-072173 Issued in AL
Practice address
801 Princeton Ave SW
Suite 201, Pob 1
Birmingham, AL 35211-1310
Phone
(205) 783-7705
Fax
(205) 783-7706
NPI assigned
Jul 16, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-072173 AL Primary

Addresses

Primary practice location

801 Princeton Ave SW
Suite 201, Pob 1
Birmingham, AL 35211-1310

Mailing address

1821 Enfield St
Birmingham, AL 35217-2610
Phone (205) 849-4105

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
I20080324000449 AL Practitioner - Nurse Practitioner 9830275445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-072173ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M. Sokell, DPM, PC Past Accepting new patients
Western Mental Health Center Inc PastSince Dec 19, 2016 Accepting new patients
Birmingham Pain Management & Rehabilitation Centers, PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1275732570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 ENFIELD ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352172610",
            "telephone_number": "205-849-4105",
            "fax_number": "205-841-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "SUITE 201, POB 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-783-7705",
            "fax_number": "205-783-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANISSA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-072173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.