Individual provider Active NPI

Santrice Pleasant, CRNP

  • Pediatric Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1366077562
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-119564 Issued in AL
Practice address
245 Governors Dr SE
Huntsville, AL 35801-2700
Phone
(256) 265-7061
NPI assigned
Mar 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1-119564 AL
Pediatric Nurse Practitioner 363LP0200X 1-119564 AL Primary

Addresses

Primary practice location

245 Governors Dr SE
Huntsville, AL 35801-2700

Mailing address

94 Chandler LN
Troy, AL 36079-5764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210325002426 AL Practitioner - Nurse Practitioner 6901213552 Reassigns benefits to 1 organization
I20230308000201 TN Practitioner - Nurse Practitioner 6901213552 Reassigns benefits to 2 organizations
I20230531002282 GA Practitioner - Nurse Practitioner 6901213552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-119564ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Urgent Care, LLC Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. CurrentSince Mar 1, 2023 Accepting new patients
Urgent Care for Children, PLLC Pediatrics CurrentSince May 16, 2023 Accepting new patients
Emergency Coverage, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

2122 Gunbarrel Rd
Unit 2
Chattanooga, TN 37421
Phone (423) 702-4266

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

5215 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 664-1151

11146 Parkside Dr
Knoxville, TN 37934
Phone (865) 246-2830

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1366077562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CHANDLER LN",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360795764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012700",
            "telephone_number": "256-265-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEASANT",
        "first_name": "SANTRICE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "1-119564",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-119564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.