Active NPI
Fall Injury Prevention and Rehabilitation Services LLC
- Community Health Clinic/Center
- Irondale, AL
National Provider Identifier
1376911065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 1056275
- Legal business name
- FALL INJURY PREVENTION AND REHABILITATION SERVICES LLC
- Practice address
- 7001 Crestwood Blvd
Suite 804
Irondale, AL 35210-2332 - Phone
- (205) 518-6421
- NPI assigned
- Sep 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cassandra Warner Frieson, DNP, CRNP
- Title
- Clinical Director
- Phone
- (205) 518-6421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 1056275 | AL | Primary |
Addresses
Primary practice location
7001 Crestwood Blvd
Suite 804
Irondale, AL 35210-2332
Mailing address
7001 Crestwood Blvd
Suite 804
Irondale, AL 35210-2332
Phone (205) 518-6421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000031454 | Medicaid | AL |
Other names 1
- Fall Injury Prevention and Rehabilitation Center
National Provider Directory
National Provider DirectoryLocations
7001 Crestwood Blvd
Ste 804
Irondale, AL 35210
Phone (205) 518-6421
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Birmingham, AL
- NPI 1053802009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441929600000",
"number": "1376911065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 CRESTWOOD BLVD",
"address_2": "SUITE 804",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102332",
"telephone_number": "205-518-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 CRESTWOOD BLVD",
"address_2": "SUITE 804",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102332",
"telephone_number": "205-518-6421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALL INJURY PREVENTION AND REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A",
"authorized_official_last_name": "FRIESON",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_middle_name": "WARNER",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "205-518-6421",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DNP, CRNP"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "AL",
"license": "1056275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000031454",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fall Injury Prevention and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.