Active NPI
Diana Cherise Rembert, CRNP
- Nurse Practitioner
- Grant, AL
National Provider Identifier
1467514331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1076318
- Practice address
- 4500 Main St
Grant, AL 35747-8303 - Phone
- (256) 728-8600
- Fax
- (256) 728-8602
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1076318 | AL | Primary |
Addresses
Primary practice location
4500 Main St
Grant, AL 35747-8303
Mailing address
PO Box 11407
Dept#0132
Birmingham, AL 35246-0132
Phone (256) 728-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528301710 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150513001860 | AL | Practitioner - Nurse Practitioner | 9133449275 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076318 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Family Medicine, LLC | Current | Accepting new patients | |
| Marshall Medical Center North | Current | Accepting new patients |
Locations
4500 Main St
Grant, AL 35747
Phone (256) 728-2600
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 and National Provider Directory roles.
-
- Clinic/Center
- Grant, AL
- NPI 1316948649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1467514331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"address_2": "DEPT#0132",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352460132",
"telephone_number": "256-728-8600",
"fax_number": "256-728-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MAIN ST",
"city": "GRANT",
"state": "AL",
"postal_code": "357478303",
"telephone_number": "256-728-8600",
"fax_number": "256-728-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMBERT",
"first_name": "DIANA",
"middle_name": "CHERISE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1076318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528301710",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grant, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.