Active NPI
Cornerstone Direct Care, LLC
- Gerontology Nurse Practitioner
- Cullman, AL
National Provider Identifier
1558055939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- CORNERSTONE DIRECT CARE, LLC
- Practice address
- 320 County Road 676
Cullman, AL 35055-7009 - Phone
- (256) 339-0901
- Fax
- (256) 419-2386
- NPI assigned
- Jun 7, 2023
- 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
- Chris Williams, NP
- Title
- Owner
- Phone
- (256) 339-0901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
320 County Road 676
Cullman, AL 35055-7009
Mailing address
320 County Road 676
Cullman, AL 35055-7009
Phone (256) 339-0901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2712 Washington St
Alexander City, AL 35010
105 Michelle St NW
Hanceville, AL 35077
1100 2nd Ave E
Oneonta, AL 35121
Phone (205) 255-3828
520 Lasalle St
Rainbow City, AL 35906
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cullman, AL
- NPI 1285821397
-
- Nurse Practitioner
- Cullman, AL
- NPI 1831751130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1558055939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 COUNTY ROAD 676",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350557009",
"telephone_number": "256-339-0901",
"fax_number": "256-419-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 COUNTY ROAD 676",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350557009",
"telephone_number": "256-339-0901",
"fax_number": "256-419-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE DIRECT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-339-0901",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.