Individual provider Active NPI

Brenda Lea Smith, CRNP

  • Family Medicine Physician
  • Semmes, AL
National Provider Identifier
1487677068
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-062996 Issued in AL
Practice address
8010 Moffett Rd
Semmes, AL 36575-5406
Phone
(251) 645-8946
Fax
(251) 645-8976
NPI assigned
Jul 25, 2006
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-062996 AL
Family Medicine Physician 207Q00000X 1-062996 AL Primary

Addresses

Primary practice location

8010 Moffett Rd
Semmes, AL 36575-5406

Mailing address

2031 Snow Rd N
Semmes, AL 36575-7629
Phone (251) 645-0927

Other practice location 1

5907 Highway 90
Moss Point, MS 39563-6536
Phone (228) 769-2611

Other practice location 2

8833 Cottage Hill Rd
Mobile, AL 36695-8345
Phone (251) 544-5420

Other practice location 3

5621 Cottage Hill Rd
Mobile, AL 36609-4210
Phone (251) 666-2439

Other practice location 4

411 N Section St
Fairhope, AL 36532-2649
Phone (251) 660-3470

Other practice location 5

19140 S 3rd St
Citronelle, AL 36522-2306
Phone (251) 866-0086

Other practice location 6

9971 Airport Blvd
Mobile, AL 36608-9525
Phone (251) 660-3500

Other practice location 7

5100 Rangeline Service Rd N
Mobile, AL 36619-9504
Phone (251) 661-4454

Other practice location 8

610 Providence Park Dr E Ste 101
Mobile, AL 36695-4618
Phone (251) 378-3900

Other practice location 9

18 CM Rambo Dr
Saraland, AL 36571-2147
Phone (251) 675-7433

Other practice location 10

610 Providence Park Dr E Ste 102
Mobile, AL 36695-4618
Phone (251) 639-5070

Other practice location 11

6908 Providence Park Dr S
Mobile, AL 36695-4600
Phone (251) 660-3490

Other practice location 12

6701 Airport Blvd Ste A206
Mobile, AL 36608-3763
Phone (251) 675-7433

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
I20080220000224 AL Practitioner - Nurse Practitioner 1052495710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1359 Broadway
Suite 732
New York, NY 10018-7729

3929 Airport Blvd
FL 5
Mobile, AL 36609-1987

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-062996ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Alabama Providence Healthcare Services Family Medicine Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2014 Accepting new patients
USA Health Community Providers LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Checkups - Al LLC Past Accepting new patients

Locations

19140 S 3rd St
Citronelle, AL 36522
Phone (251) 866-0086

411 N Section St
Fairhope, AL 36532
Phone (251) 517-5027

5100 Rangeline Service Rd N
Mobile, AL 36619
Phone (251) 661-4454

5621 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 666-2439

610 Providence Park Dr E
Ste 101
Mobile, AL 36695
Phone (251) 378-3900

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste A206
Mobile, AL 36608
Phone (251) 675-7433

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

8833 Cottage Hill Rd
Mobile, AL 36695
Phone (251) 544-5120

9971 Airport Blvd
Mobile, AL 36608
Phone (251) 660-3500

18 Rambo Dr
Saraland, AL 36571
Phone (251) 675-2029

8010 Moffett Rd
Semmes, AL 36575
Phone (251) 645-8946

5907 Highway 90
Pascagoula, MS 39563
Phone (225) 769-1611

Interoperability endpoints

  • Direct secure messaging: brenda.smith.1@16253.direct.athenahealth.com

Organizations & group practices 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1487677068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 SNOW RD N",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365757629",
            "telephone_number": "251-645-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755406",
            "telephone_number": "251-645-8946",
            "fax_number": "251-645-8976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5907 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Moss Point",
            "state": "MS",
            "postal_code": "395636536",
            "country_code": "US",
            "telephone_number": "228-769-2611",
            "fax_number": "228-934-2481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8833 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366958345",
            "country_code": "US",
            "telephone_number": "251-544-5420",
            "fax_number": "251-544-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5621 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366094210",
            "country_code": "US",
            "telephone_number": "251-666-2439",
            "fax_number": "251-666-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 N Section St",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365322649",
            "country_code": "US",
            "telephone_number": "251-660-3470",
            "fax_number": "251-660-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19140 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Citronelle",
            "state": "AL",
            "postal_code": "365222306",
            "country_code": "US",
            "telephone_number": "251-866-0086",
            "fax_number": "251-866-0089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9971 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366089525",
            "country_code": "US",
            "telephone_number": "251-660-3500",
            "fax_number": "251-660-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Rangeline Service Rd N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366199504",
            "country_code": "US",
            "telephone_number": "251-661-4454",
            "fax_number": "251-661-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 CM Rambo Dr",
            "address_purpose": "LOCATION",
            "city": "Saraland",
            "state": "AL",
            "postal_code": "365712147",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6908 Providence Park Dr S",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954600",
            "country_code": "US",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "LEA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-062996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-062996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Semmes, AL

Sources for this page

Verify at the official NPI Registry.