Mary Ellen Caughran, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-070978 Issued in AL

Practice address

619 19TH St S
Meb 508, University of Alabama at Birmingham Hospital
Birmingham, AL 35249-6908

Phone

(205) 975-5516

Fax

(205) 934-0655

NPI assigned

Jun 15, 2011

Last updated

Jun 15, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1558656884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST. SOUTH",
            "address_2": "MEB 508, UNIVERSITY OF ALABAMA AT BIRMINGHAM HOSPITAL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352496908",
            "telephone_number": "205-975-5516",
            "fax_number": "205-934-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "MEB 508, UNIVERSITY OF ALABAMA AT BIRMINGHAM HOSPITAL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352496908",
            "telephone_number": "205-975-5516",
            "fax_number": "205-934-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHRAN",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-070978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.