Active NPI
Monica M Chadwick, CPNP
- Nurse Practitioner
- Springville, AL
National Provider Identifier
1356682173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-122716
- Practice address
- 350 Springville Station Blvd
Springville, AL 35146 - Phone
- (205) 773-2075
- NPI assigned
- Mar 4, 2013
- Last updated
- Mar 28, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-122716 | AL | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 1-122716 | AL | |
| Primary Care Nurse Practitioner | 363LP2300X | 1-122716 | AL |
Addresses
Primary practice location
350 Springville Station Blvd
Springville, AL 35146
Mailing address
350 Springville Sta
Springville, AL 35146-6163
Phone (205) 773-2075
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-122716 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springville Pediatrics LLC | Nurse Practitioner | Current | Accepting new patients |
| Fort Payne Pediatrics LLC | Past | Accepting new patients |
Locations
350 Springville Sta
Springville, AL 35146
Phone (205) 773-2075
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.
-
- Rural Health Clinic/Center
- Fort Payne, AL
- NPI 1033477393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1356682173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SPRINGVILLE STA",
"city": "SPRINGVILLE",
"state": "AL",
"postal_code": "351466163",
"telephone_number": "205-773-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SPRINGVILLE STATION BLVD",
"city": "SPRINGVILLE",
"state": "AL",
"postal_code": "35146",
"telephone_number": "205-773-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "MONICA",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-04",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-122716",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-122716",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-122716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.