Individual provider Active NPI

Victoria P Adaway, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Pell City, AL
National Provider Identifier
1285664292
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
1-036298 Issued in AL
Practice address
1602 Cogswell Ave
Pell City, AL 35125-1645
Phone
(205) 307-8046
Fax
(205) 338-4464
NPI assigned
Jul 4, 2006
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 1-036298 AL Primary

Addresses

Primary practice location

1602 Cogswell Ave
Pell City, AL 35125-1645

Mailing address

PO Box 531291
Birmingham, AL 35253-1291
Phone (205) 307-8046

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
I20050308000115 AL Practitioner - Certified Clinical Nurse Specialist (CNS) 8820042443 Practice locations: Pell City, AL

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1602 Cogswell Ave
Pell City, AL 35125-1645
Phone (205) 307-8046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
1-036298ALMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1285664292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531291",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352531291",
            "telephone_number": "205-307-8046",
            "fax_number": "205-338-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251645",
            "telephone_number": "205-307-8046",
            "fax_number": "205-338-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAWAY",
        "first_name": "VICTORIA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "AL",
            "license": "1-036298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.