Individual provider Active NPI

Rachel Elizabeth Laberenz, NP-C

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1366973422
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-090405 Issued in AL
Practice address
101 Fitness Way Ste 2700
Athens, AL 35611-2495
Phone
(256) 233-9273
Fax
(256) 216-1920
NPI assigned
Mar 21, 2017
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-090405 AL Primary

Addresses

Primary practice location

101 Fitness Way Ste 2700
Athens, AL 35611-2495

Mailing address

930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 533-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180112002140 AL Practitioner - Nurse Practitioner 2062771397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Heart Center, LLCGroup PAC ID 1951694678, 94 clinicians

Practice addresses (Care Compare)

101 Fitness Way
Suite 2700
Athens, AL 35611-2495
Phone (256) 233-9273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HH Heart Center, LLC Family CurrentSince Jun 1, 2019 Accepting new patients
Alabama Dermatology and Skin Specialists, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

101 Fitness Way
Ste 2700
Athens, AL 35611
Phone (256) 233-9273

2045 Cecil Ashburn Dr SE
Ste 201
Huntsville, AL 35802
Phone (256) 881-5874

930 Franklin St SE
Huntsville, AL 35801

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1366973422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-533-3388",
            "fax_number": "256-801-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FITNESS WAY STE 2700",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112495",
            "telephone_number": "256-233-9273",
            "fax_number": "256-216-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERENZ",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-090405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.