Individual provider Active NPI

Wendy Wilks Conner, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1295909950
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1088021 Issued in AL
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

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000872 AL Practitioner - Nurse Practitioner 2062605173 Reassigns benefits to 1 organization

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
Alabama Neurological Surgery and Spine PCGroup PAC ID 1951771831, 5 clinicians

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 Hospital, Lafayette, LA, CCN 190002
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1088021ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norwood Clinic Inc CurrentSince Feb 15, 2016 Accepting new patients
Alabama Neurological Surgery & Spine PC CurrentSince Jan 1, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.