Active NPI
Rebecca Lee Branum Autrey, PNP
- Pediatric Nurse Practitioner
- Gulf Shores, AL
National Provider Identifier
1316245301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-119386
- Practice address
- 232 Office Park Dr
Gulf Shores, AL 36542-3432 - Phone
- (251) 968-2323
- Fax
- (251) 968-2134
- NPI assigned
- Mar 1, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-119386 | AL | Primary |
Addresses
Primary practice location
232 Office Park Dr
Gulf Shores, AL 36542-3432
Mailing address
232 Office Park Dr
Gulf Shores, AL 36542-3432
Phone (251) 968-2323
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-119386 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Shores Pediatrics PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Gulf Shores, AL
- NPI 1932121845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1316245301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 OFFICE PARK DR",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365423432",
"telephone_number": "251-968-2323",
"fax_number": "251-968-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 OFFICE PARK DR",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365423432",
"telephone_number": "251-968-2323",
"fax_number": "251-968-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTREY",
"first_name": "REBECCA",
"middle_name": "LEE BRANUM",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-119386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Shores, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.