Active NPI
Wendy Wilks Conner, CRNP
- Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1088021
- Practice address
- 2022 Brookwood Medical Ctr Dr 510
Birmingham, AL 35209-6807 - Phone
- (205) 250-6000
- Fax
- (205) 250-6848
- NPI assigned
- Apr 14, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1088021 | AL | Primary |
Addresses
Primary practice location
2022 Brookwood Medical Ctr Dr 510
Birmingham, AL 35209-6807
Mailing address
3535 Grandview Pkwy Ste 150
Birmingham, AL 35243-2027
Phone (205) 250-6805
Other practice location 1
3535 Grandview Pkwy Ste 150
Birmingham, AL 35243
Phone (205) 250-6805
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Grandview Pkwy
Suite 150
Birmingham, AL 35243-2027
Phone (205) 250-6805
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Grandview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088021 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwood Clinic Inc | Current | Accepting new patients | |
| Alabama Neurological Surgery & Spine PC | Current | Accepting new patients |
Locations
3535 Grandview Pkwy
Ste 150
Birmingham, AL 35243
Phone (205) 250-6805
2022 Medical Center Dr
Ste 510
Birmingham, AL 35209
Phone (205) 877-1805
2244 North Rd
Gardendale, AL 35071
Phone (205) 418-1080
Interoperability endpoints
- https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BIAJCD
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Birmingham, AL
- NPI 1528782232
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1104879741
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1295909950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 GRANDVIEW PKWY STE 150",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432027",
"telephone_number": "205-250-6805",
"fax_number": "205-250-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 BROOKWOOD MEDICAL CTR DR 510",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096807",
"telephone_number": "205-250-6000",
"fax_number": "205-250-6848"
}
],
"practiceLocations": [
{
"address_1": "3535 Grandview Pkwy Ste 150",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "35243",
"country_code": "US",
"telephone_number": "205-250-6805",
"fax_number": "205-250-6580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "WENDY",
"middle_name": "WILKS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1088021",
"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 Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.