Isuan Iriabho, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-1156911 Issued in AL

Practice address

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637

Phone

(205) 235-4003

Fax

(205) 941-8071

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care Ga PCGroup PAC ID 3274939061, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isuan.iriabho.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care Ga PC

  • Internal Medicine Physician
  • South Fulton, GA
  • NPI 1801463468

  GA

  Medicare reassignment Care Compare group NPD
• Russell Hospital Corporation

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1417252537

  AL

  Medicare reassignment NPD
• STV Cardiothoracic Surgeons LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Birmingham, AL
  • NPI 1649624255

  AL

  Medicare reassignment NPD
• Russell Hospital Corporation

  • Rural Health Clinic/Center
  • New Site, AL
  • NPI 1700419868
  NPD
• Centerwell Senior Primary Care Ga PC

  • Internal Medicine Physician
  • Woodstock, GA
  • NPI 1689491680
  NPD
• Centerwell Senior Primary Care Ga PC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1336713700
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1548809239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "833-804-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111637",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2871 Acton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432560",
            "country_code": "US",
            "telephone_number": "205-716-6900",
            "fax_number": "205-939-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIABHO",
        "first_name": "ISUAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-1156911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isuan.iriabho.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6435 Bells Ferry Rd # 110",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301892317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Birmingham, AL
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.