Active NPI
Agnes Oberkor, CRNP
- Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1326528696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-071558
- Practice address
- 201 Monroe St Ste 1440
Montgomery, AL 36104-3704 - Phone
- (334) 206-9344
- NPI assigned
- Aug 16, 2018
- 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 | 1-071558 | AL | Primary |
Addresses
Primary practice location
201 Monroe St Ste 1440
Montgomery, AL 36104-3704
Mailing address
201 Monroe St Ste 1440
Montgomery, AL 36104-3704
Phone (334) 206-9344
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-071558 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1326528696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MONROE ST STE 1440",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043704",
"telephone_number": "334-206-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MONROE ST STE 1440",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043704",
"telephone_number": "334-206-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERKOR",
"first_name": "AGNES",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-071558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.