Active NPI
Elizabeth M Wales, RN
- Registered Nurse
- Birmingham, AL
National Provider Identifier
1437904810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-186000
- Practice address
- 1201 11TH Ave S
Birmingham, AL 35205-3423 - Phone
- (205) 934-3411
- NPI assigned
- Apr 19, 2024
- Last updated
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-186000 | AL | Primary |
Addresses
Primary practice location
1201 11TH Ave S
Birmingham, AL 35205-3423
Mailing address
28078 Fogg LN
Elkmont, AL 35620-3171
Phone (256) 431-7959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-186000 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1437904810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28078 FOGG LN",
"city": "ELKMONT",
"state": "AL",
"postal_code": "356203171",
"telephone_number": "256-431-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053423",
"telephone_number": "205-934-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALES",
"first_name": "ELIZABETH",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-186000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.