Individual provider Active NPI

Amanda Lea Higgins, CRNP

  • Family Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1376034504
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-111031 Issued in AL
Practice address
1680 Montgomery Hwy
Hoover, AL 35216
Phone
(205) 979-0888
Fax
(205) 979-4110
NPI assigned
May 23, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 1-111031 AL Primary

Addresses

Primary practice location

1680 Montgomery Hwy
Hoover, AL 35216

Mailing address

1680 Montgomery Hwy
Vestavia Hills, AL 35216-4906
Phone (205) 979-0888

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
I20181030001938 AL Practitioner - Nurse Practitioner 9638422181 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-111031ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eminence Urgent Care LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

233 Beverly Dr
Ste 101
Calera, AL 35040
Phone (205) 821-4411

2156 Highway 52 E
#150
Pelham, AL 35124
Phone (205) 920-1211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1376034504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164906",
            "telephone_number": "205-979-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MONTGOMERY HWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-979-0888",
            "fax_number": "205-979-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-111031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.