Individual provider Active NPI

Faith Simmons, CRNP

  • Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1295592426
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-199058 Issued in AL
Practice address
4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone
(205) 985-4111
Fax
(205) 985-4326
NPI assigned
Mar 4, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-199058 AL Primary
Family Nurse Practitioner 363LF0000X 1-199058 AL

Addresses

Primary practice location

4517 Southlake Pkwy
Hoover, AL 35244-3280

Mailing address

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Other practice location 1

3686 Grandview Pkwy Ste 430
Birmingham, AL 35243-3404
Phone (205) 605-8180

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
I20240812000286 AL Practitioner - Nurse Practitioner 1153869029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3686 Grandview Pkwy
Suite 430
Birmingham, AL 35243-3404
Phone (205) 605-8180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-199058ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC CurrentSince Jul 10, 2024 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jul 10, 2024 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 430
Birmingham, AL 35243
Phone (205) 605-8180

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

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, 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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1295592426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 Grandview Pkwy Ste 430",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433404",
            "country_code": "US",
            "telephone_number": "205-605-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "FAITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-199058",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-199058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.