Individual provider Active NPI

Susan Alexander, CRNP

  • Adult Health Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1326195702
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-066697 Issued in AL
Practice address
4421 W Pleasant Acres Dr
Decatur, AL 35603-5729
Phone
(256) 350-5836
NPI assigned
Jan 5, 2007
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051531443OtherALBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Primarily Geriatrics, LLC CurrentSince Sep 1, 2018 Accepting new patients
Watchman's Health PC PastSince Sep 1, 2019 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.