Active NPI
Susan Alexander, CRNP
- Adult Health Nurse Practitioner
- Decatur, AL
National Provider Identifier
1326195702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-066697
- Practice address
- 4421 W Pleasant Acres Dr
Decatur, AL 35603-5729 - Phone
- (256) 350-5836
- NPI assigned
- Jan 5, 2007
- Last updated
- Feb 15, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-066697 | AL | Primary |
Addresses
Primary practice location
4421 W Pleasant Acres Dr
Decatur, AL 35603-5729
Mailing address
1501 7TH St SE # 3
Decatur, AL 35601-3378
Phone (256) 350-6182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051531443 | Other | AL | BCBS OF AL PROVIDER NUMBE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170614003009 | AL | Practitioner - Nurse Practitioner | 5496657678 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primarily Geriatrics, LLC | Current | Accepting new patients | |
| Watchman's Health PC | Past | Accepting new patients |
Locations
1501 7th St SE
Decatur, AL 35601
Phone (256) 350-2210
1501 7th St SE
#3
Decatur, AL 35601
1501 7th St SE
Ste A
Decatur, AL 35601
Phone (256) 355-7665
Interoperability endpoints
- https://api.platform.athenahealth.com/20395/brand/1/csg/1/fhir/r4
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.
-
dba Russell T. Barr, M.D.
- Primary Care Clinic/Center
- Decatur, AL
- NPI 1417387648
-
- Primary Care Clinic/Center
- Decatur, AL
- NPI 1568012755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1326195702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 7TH ST SE # 3",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013378",
"telephone_number": "256-350-6182",
"fax_number": "256-350-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 W PLEASANT ACRES DR",
"city": "DECATUR",
"state": "AL",
"postal_code": "356035729",
"telephone_number": "256-350-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SUSAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-066697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL PROVIDER NUMBE",
"identifier": "051531443",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
- Merry Nelson Albro, LPC, NBCC
- Elizabeth Diane Aldridge, MS
- Aletha Lakay Edison M D LLC
- Andrea Nichole Alexander, CRNP
- Attupuram Joseph Alexander, MD
- Aligned Minds Counseling & Consulting LLC
- All 4 God's Glory Hair Loss Center, LLC
- Allen Cooper Enterprise
- Allen J. Schmidt Jr. M.D. P.C. (Internal Medicine Partners)
- Allen J. Schmidt Jr. M.D. P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.