Individual provider Active NPI

Robin Suzanne Harris, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1487801502
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099499 Issued in AL
Practice address
880 Montclair Rd
Suite 577
Birmingham, AL 35213-1972
Phone
(205) 595-6757
Fax
(205) 595-0472
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1099499 AL Primary

Addresses

Primary practice location

880 Montclair Rd
Suite 577
Birmingham, AL 35213-1972

Mailing address

130 Autumn View Dr
Sterrett, AL 35147-9221
Phone (205) 678-7036

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
I20090808000005 AL Practitioner - Nurse Practitioner 2062565005 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1099499ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hospital Medicine PC CurrentSince Mar 1, 2020 Accepting new patients
Trinity Emergency Physicians LLC CurrentSince Jan 15, 2015 Accepting new patients
Paragon Contracting Services LLC CurrentSince Nov 20, 2011 Accepting new patients
Trinity Emergency Physicians, LLC CurrentSince Jan 15, 2015 Accepting new patients
Alabama Emergency Physician Partners, LLC Current Accepting new patients
Vincentian Physician Services LLC Family CurrentSince Oct 14, 2024 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Jan 10, 2013 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Mar 1, 2020 Accepting new patients
Sports Medicine & Orthopedic Specialists, P.C. Past Accepting new patients
Fagan LLC Past Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

2700 10th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 418-1200

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1487801502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AUTUMN VIEW DR",
            "city": "STERRETT",
            "state": "AL",
            "postal_code": "351479221",
            "telephone_number": "205-678-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MONTCLAIR RD",
            "address_2": "SUITE 577",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131972",
            "telephone_number": "205-595-6757",
            "fax_number": "205-595-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBIN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1099499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.