Active NPI
Crisis Hospitalist Staffing Solutions LLC
- Internal Medicine Physician
- Fairhope, AL
National Provider Identifier
1346507183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30174
- Legal business name
- CRISIS HOSPITALIST STAFFING SOLUTIONS LLC
- Doing business as
- NICOLE VANNOR KERSH, MD
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 988-1117
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Vannor Kersh, M.D.
- Title
- Owner
- Phone
- (251) 988-1117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30174 | AL | Primary |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
82 Plantation Pointe # 300
Fairhope, AL 36532-2962
Phone (251) 988-1117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137976 | Medicaid | AL | |
| 51125157 | Other | AL | BLUE CROSS |
Other names 1
- NICOLE VANNOR KERSH, MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341446400000",
"number": "1346507183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 PLANTATION POINTE # 300",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322962",
"telephone_number": "251-988-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-988-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISIS HOSPITALIST STAFFING SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2012-07-05",
"status": "A",
"authorized_official_last_name": "KERSH",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "VANNOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-988-1117",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AL",
"license": "30174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137976",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51125157",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NICOLE VANNOR KERSH, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.