Individual provider Active NPI

Patricia Lambert Luthin, RN, MS, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1386882660
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-108309 Issued in AL
Practice address
504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone
(205) 871-9661
Fax
(205) 870-1621
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-108309 AL Primary

Addresses

Primary practice location

504 Brookwood Blvd
Birmingham, AL 35209-6802

Mailing address

504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone (205) 871-9661

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
I20090918000085 AL Practitioner - Nurse Practitioner 7911053848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-108309ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Allergist of Florida LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1386882660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHIN",
        "first_name": "PATRICIA",
        "middle_name": "LAMBERT",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-108309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.