Active NPI
Elaine Mae Harris, FNP-C
- Registered Nurse
- Alabaster, AL
National Provider Identifier
1558034017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-167427
- Practice address
- 1000 1St St N
Alabaster, AL 35007-8703 - Phone
- (205) 620-8100
- NPI assigned
- Jul 29, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-167427 | AL | Primary |
Addresses
Primary practice location
1000 1St St N
Alabaster, AL 35007-8703
Mailing address
803 Honeysuckle Dr
Fultondale, AL 35068-1388
Phone (765) 212-5770
Other names 1
- Elaine Mae Gemple
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-167427 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alteon Health Alabama, LLC | Current | Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Talladega, AL
- NPI 1477708857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1558034017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 HONEYSUCKLE DR",
"city": "FULTONDALE",
"state": "AL",
"postal_code": "350681388",
"telephone_number": "765-212-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 1ST ST N",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078703",
"telephone_number": "205-620-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ELAINE",
"middle_name": "MAE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-167427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELAINE",
"last_name": "GEMPLE",
"middle_name": "MAE",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.