Organization Active NPI

Selma Doctors Clinic, PC

  • Adult Health Clinical Nurse Specialist
  • Selma, AL
National Provider Identifier
1346625969
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
RN1-111824 Issued in AL
Legal business name
SELMA DOCTORS CLINIC, PC
Practice address
509 Parkman Ave
Selma, AL 36701-5734
Phone
(334) 874-9064
Fax
(334) 874-2633
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Mrs. Mary Elizabeth Switzer, CRNP
Title
CRNP
Phone
(334) 874-9064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2200X RN1-111824 AL Primary

Addresses

Primary practice location

509 Parkman Ave
Selma, AL 36701-5734

Mailing address

509 Parkman Ave
Selma, AL 36701-5734
Phone (334) 874-9064

Other identifiers 1

IdentifierTypeStateIssuer
000045614MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Selma Doctors Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1346625969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PARKMAN AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015734",
            "telephone_number": "334-874-9064",
            "fax_number": "334-874-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PARKMAN AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015734",
            "telephone_number": "334-874-9064",
            "fax_number": "334-874-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA DOCTORS CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "MARY ELIZABETH",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "334-874-9064",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AL",
            "license": "RN1-111824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000045614",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.