Menthola Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12191055 Issued in AL

Practice address

3800 Ridgeway Dr
Birmingham, AL 35209-5506

Phone

(205) 868-2000

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
• Direct secure messaging: menthola.smith.1@15135.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.

• Birmingham Internal Medicine Associates, LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598796542

  Family

  Medicare reassignment Care Compare group NPD
• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151
  Medicare reassignment NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208
  NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Thomaston, AL
  • NPI 1215471032
  NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Pine Apple, AL
  • NPI 1295804391
  NPD
• Rural Health Medical Program, Inc

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457994121
  NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD
• Rural Health Medical Program, Inc

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
  • NPI 1992040950
  NPD
• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Uniontown, AL
  • NPI 1033298757
  NPD
• Rural Health Medical Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1558987990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-868-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-868-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MENTHOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F12191055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Smith
• Mark Smith Jr.
• Mary Ellen Smith, RN
• Megan Elizabeth Smith, CRNP
• Melanie Smith
• Michael Anthony Smith, OTR/L
• Mimi Chamblin Smith, M.D.
• Morgan Courtney Smith
• Myracle Smith
• Nathan Smith

• 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 22, 2020; 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.