Individual provider Active NPI

Grace Victoria Sandoval Buettner, RN

  • Nurse Practitioner
  • Homewood, AL
National Provider Identifier
1376305318
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-188215 Issued in AL
Practice address
2006 Brookwood Medical Ctr Dr Ste 402
Homewood, AL 35209-6823
Phone
(205) 663-2569
Fax
(205) 664-1727
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-188215 AL
Nurse Practitioner 363L00000X 1-188215 AL Primary

Addresses

Primary practice location

2006 Brookwood Medical Ctr Dr Ste 402
Homewood, AL 35209-6823

Mailing address

2006 Brookwood Medical Ctr Dr Ste 402
Homewood, AL 35209-6823
Phone (205) 663-2569

Other practice location 1

2871 Acton Rd Ste 101
Vestavia, AL 35243-2560
Phone (205) 612-5009

Other practice location 2

224 1st St N Ste 100
Alabaster, AL 35007-8758
Phone (205) 663-2569

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
I20260610001358 AL Practitioner - Nurse Practitioner 5496226458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Brookfield Medical Ctr Dr
Suite 402
Homewood, AL 35007-8758

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-188215ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Revealbeauty Plastic Surgery, LLC CurrentSince Jun 2, 2024 Accepting new patients
Together Women'S Health Medical Group of Alabama PC CurrentSince May 21, 2026 Accepting new patients

Locations

224 1st St N
Ste 100
Alabaster, AL 35007
Phone (205) 663-2569

2006 Medical Center Dr
Ste 402
Homewood, AL 35209
Phone (205) 397-9000

2871 Acton Rd
Ste 101
Vestavia, AL 35243
Phone (205) 408-9787

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1376305318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR STE 402",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096823",
            "telephone_number": "205-663-2569",
            "fax_number": "205-664-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR STE 402",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096823",
            "telephone_number": "205-663-2569",
            "fax_number": "205-664-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2871 Acton Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432560",
            "country_code": "US",
            "telephone_number": "205-612-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 1st St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078758",
            "country_code": "US",
            "telephone_number": "205-663-2569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL BUETTNER",
        "first_name": "GRACE",
        "middle_name": "VICTORIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-188215",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-188215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.