Individual provider Active NPI

Renee Hudoba Lopez, DC

  • Chiropractor
  • Fairhope, AL
National Provider Identifier
1447222195
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2027 Issued in AL
Practice address
401 N Section St
Fairhope, AL 36532-2613
Phone
(251) 928-5058
Fax
(251) 928-5666
NPI assigned
Feb 6, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2027 AL Primary

Addresses

Primary practice location

401 N Section St
Fairhope, AL 36532-2613

Mailing address

401 N Section St
Fairhope, AL 36532-2613
Phone (251) 928-5058

Other identifiers 3

IdentifierTypeStateIssuer
46674OtherALHEALTHSPRINGS OF ALABAMA
11209151OtherALAETNA/CAQH
051507949OtherALBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2027ALMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1447222195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322613",
            "telephone_number": "251-928-5058",
            "fax_number": "251-928-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322613",
            "telephone_number": "251-928-5058",
            "fax_number": "251-928-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RENEE",
        "middle_name": "HUDOBA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS OF ALABAMA",
            "identifier": "46674",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/CAQH",
            "identifier": "11209151",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051507949",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.