Active NPI
Bethany Leigh Heron, CRNP
- Family Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1295168565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-066424
- Practice address
- 1601 4TH Ave S # Cpp230
Birmingham, AL 35233-1723 - Phone
- (205) 638-9107
- Fax
- (205) 638-9821
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-066424 | AL | Primary |
Addresses
Primary practice location
1601 4TH Ave S # Cpp230
Birmingham, AL 35233-1723
Mailing address
1601 4TH Ave S # Cpp230
Birmingham, AL 35233-1723
Phone (205) 638-9107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1295168565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 4TH AVE S # CPP230",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331723",
"telephone_number": "205-638-9107",
"fax_number": "205-638-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 4TH AVE S # CPP230",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331723",
"telephone_number": "205-638-9107",
"fax_number": "205-638-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERON",
"first_name": "BETHANY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-066424",
"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 Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.