NPIMap

Organization Active NPI

Pediatric Intensivist

  • Pediatric Critical Care Medicine Physician
  • Huntsville, AL
National Provider Identifier
1396884524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
Legal business name
PEDIATRIC INTENSIVIST
Practice address
401 Lowell Dr SE
Suite 14
Huntsville, AL 35801-3748
Phone
(256) 265-7791
Fax
(256) 265-7767
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heather Mason
Title
Director of Physicians Network
Phone
(256) 265-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X NU Primary

Addresses

Primary practice location

401 Lowell Dr SE
Suite 14
Huntsville, AL 35801-3748

Mailing address

401 Lowell Dr SE
Suite 14
Huntsville, AL 35801-3748
Phone (256) 265-7791

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396884524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE",
            "address_2": "SUITE 14",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013748",
            "telephone_number": "256-265-7791",
            "fax_number": "256-265-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE",
            "address_2": "SUITE 14",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013748",
            "telephone_number": "256-265-7791",
            "fax_number": "256-265-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC INTENSIVIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIANS NETWORK",
        "authorized_official_telephone_number": "256-265-7791"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.