Organization Active NPI

Resilience Health Center, LLC

  • Primary Care Clinic/Center
  • Huntsville, AL
National Provider Identifier
1508500968
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1013931757OtherALNPI
3581-3368OtherALALABAMA BOARD OF ANESTHESIOLOGY
1003896325OtherALNPI

Other names 1

  • Madison Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@resiliencehealthcenter.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.