Active NPI
Bettina Sanders
- Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1487140976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F10171400
- Practice address
- 22 Inverness Center Pkwy
Birmingham, AL 35242-4814 - Phone
- (205) 581-6536
- NPI assigned
- Jul 8, 2018
- 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 | F10171400 | AL | Primary |
Addresses
Primary practice location
22 Inverness Center Pkwy
Birmingham, AL 35242-4814
Mailing address
420 20TH St N
Ste 2200
Birmingham, AL 35203-3261
Phone (866) 949-0108
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250912004223 | AL | Order and Referring Only - Nurse Practitioner | 4587914569 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10171400 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1487140976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 20TH ST N",
"address_2": "STE 2200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352033261",
"telephone_number": "866-949-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 INVERNESS CENTER PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424814",
"telephone_number": "205-581-6536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "BETTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "F10171400",
"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 Dec 14, 2021; 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.