Active NPI
Resilience Health Center, LLC
- Primary Care Clinic/Center
- Huntsville, AL
National Provider Identifier
1508500968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- RESILIENCE HEALTH CENTER, LLC
- Practice address
- 2302A Starmount Cir SW
Huntsville, AL 35801-3816 - Phone
- (256) 479-7813
- NPI assigned
- Apr 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie J Robertson, CRNP
- Title
- Owner
- Phone
- (256) 797-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2302A Starmount Cir SW
Huntsville, AL 35801-3816
Mailing address
2302A Starmount Cir SW
Huntsville, AL 35801-3816
Phone (256) 479-7813
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013931757 | Other | AL | NPI |
| 3581-3368 | Other | AL | ALABAMA BOARD OF ANESTHESIOLOGY |
| 1003896325 | Other | AL | NPI |
Other names 1
- Madison
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@resiliencehealthcenter.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2302A Starmount Cir SW
Huntsville, AL 35801
Phone (256) 479-7813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1508500968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302A STARMOUNT CIR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013816",
"telephone_number": "256-479-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302A STARMOUNT CIR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013816",
"telephone_number": "256-479-7813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENCE HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-22",
"last_updated": "2023-03-07",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "BONNIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-797-1100",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1013931757",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF ANESTHESIOLOGY",
"identifier": "3581-3368",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003896325",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@resiliencehealthcenter.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2302A Starmount Cir SW",
"city": "Huntsville",
"state": "AL",
"country_code": "US",
"postal_code": "358013816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Madison",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.