Individual provider Active NPI

Elizabeth Ogletree

  • Family Nurse Practitioner
  • Moody, AL
National Provider Identifier
1497364269
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-152592 Issued in AL
Practice address
2211 Moody Pkwy
Moody, AL 35004-3014
Phone
(205) 352-2480
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 1-152592 AL Primary

Addresses

Primary practice location

2211 Moody Pkwy
Moody, AL 35004-3014

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 644-8256

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
I20200807000738 AL Practitioner - Nurse Practitioner 3779908728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1854
Phone (205) 548-4102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 14, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 14, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 24, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 24, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

202 State Farm Pkwy
Homewood, AL 35209
Phone (205) 719-8465

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260

Organizations & group practices 6

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1497364269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-644-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043014",
            "telephone_number": "205-352-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-152592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

Verify at the official NPI Registry.