Individual provider Active NPI

Natalie Faith Edmonson, CRNP

  • Family Nurse Practitioner
  • Rainsville, AL
National Provider Identifier
1386362986
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-166080 Issued in AL
Practice address
157 Marshall Rd
Rainsville, AL 35986-4349
Phone
(256) 638-9355
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08220729 AL
Family Nurse Practitioner 363LF0000X 1-166080 AL Primary

Addresses

Primary practice location

157 Marshall Rd
Rainsville, AL 35986-4349

Mailing address

157 Marshall Rd
Rainsville, AL 35986-4349
Phone (256) 638-9355

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
I20220921003961 AL Practitioner - Nurse Practitioner 9739564048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dekalb Urgent Care and Wellness Clinic, LLCGroup PAC ID 4880022508, 3 clinicians

Practice addresses (Care Compare)

157 Marshall Rd
Rainsville, AL 35986-4349
Phone (256) 638-9355

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-166080ALMDFamily Nurse Practitioner
F08220729ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Urgent Care and Wellness Clinic, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

157 Marshall Rd
Rainsville, AL 35986
Phone (256) 440-0030

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1386362986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MARSHALL RD",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864349",
            "telephone_number": "256-638-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MARSHALL RD",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864349",
            "telephone_number": "256-638-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "NATALIE",
        "middle_name": "FAITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F08220729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-166080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.