Organization Active NPI

The Nightingale Clinic

  • Primary Care Clinic/Center
  • Birmingham, AL
National Provider Identifier
1396084109
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THE NIGHTINGALE CLINIC
Practice address
112 14TH St N
Birmingham, AL 35203-1736
Phone
(205) 324-6402
NPI assigned
Feb 14, 2013
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. J Walden Retan
Title
Treasurer
Phone
(205) 266-4928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

112 14TH St N
Birmingham, AL 35203-1736

Mailing address

PO Box 11213
Birmingham, AL 35202-1213

Other names 1

  • Nightingale Clinic Other name

National Provider Directory

National Provider Directory

Locations

112 14th St N
Birmingham, AL 35203
Phone (205) 324-6402

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1396084109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11213",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 14TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031736",
            "telephone_number": "205-324-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NIGHTINGALE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "RETAN",
        "authorized_official_first_name": "J WALDEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "205-266-4928",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.