Individual provider Active NPI

Bridget Colleen Fox, CRNP

  • Family Nurse Practitioner
  • Harvest, AL
National Provider Identifier
1417026964
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-095937 Issued in AL
Practice address
27669 Capshaw Rd
Ste A2
Harvest, AL 35749-6211
Phone
(256) 216-1996
Fax
(256) 216-1940
NPI assigned
Nov 7, 2006
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-095937 AL Primary

Addresses

Primary practice location

27669 Capshaw Rd
Ste A2
Harvest, AL 35749-6211

Mailing address

15024E Limestone Rd F
Harvest, AL 35749-7264
Phone (256) 216-1996

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
I20060426000836 AL Practitioner - Nurse Practitioner 3971513565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capshaw Family CareGroup PAC ID 2163661703, 7 clinicians

Practice addresses (Care Compare)

15024 E Limestone Rd
Suite F
Harvest, AL 35749-7264
Phone (256) 216-1966

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-095937ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capshaw Family Care CurrentSince May 1, 2013 Accepting new patients
Tennessee Valley Lung Care, PC Past Accepting new patients

Locations

15024 E Limestone Rd
Ste F
Harvest, AL 35749
Phone (256) 216-1966

27669 Capshaw Rd
Ste A2
Harvest, AL 35749
Phone (256) 232-0667

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1417026964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15024E LIMESTONE RD F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497264",
            "telephone_number": "256-216-1996",
            "fax_number": "256-216-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27669 CAPSHAW RD",
            "address_2": "STE A2",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357496211",
            "telephone_number": "256-216-1996",
            "fax_number": "256-216-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "BRIDGET",
        "middle_name": "COLLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-095937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvest, AL

Sources for this page

Verify at the official NPI Registry.