Active NPI
Vicki S. Hannah, CRNP/APRN, BC
- Gastroenterology Physician
- Tuscaloosa, AL
National Provider Identifier
1528222148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 1-030549
- Practice address
- 1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136 - Phone
- (205) 759-2920
- Fax
- (205) 759-1344
- NPI assigned
- Jul 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 1-030549 | AL | Primary |
Addresses
Primary practice location
1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Mailing address
1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 759-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-030549 | AL | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215907200000",
"number": "1528222148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1774 MCFARLAND BLVD N",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062136",
"telephone_number": "205-759-2920",
"fax_number": "205-759-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1774 MCFARLAND BLVD N",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062136",
"telephone_number": "205-759-2920",
"fax_number": "205-759-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "VICKI",
"middle_name": "S.",
"credential": "CRNP/APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-13",
"last_updated": "2008-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "1-030549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.