Active NPI
Melissa Suzanne Bagwell-Seifert, CRNP
- Pediatric Nurse Practitioner
- Cullman, AL
National Provider Identifier
1568614170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-087518
- Practice address
- 1965 Al Highway 157
Suite B
Cullman, AL 35058-0672 - Phone
- (256) 775-2722
- Fax
- (256) 775-2648
- NPI assigned
- Oct 14, 2008
- Last updated
- Jul 23, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-087518 | AL | Primary |
Addresses
Primary practice location
1965 Al Highway 157
Suite B
Cullman, AL 35058-0672
Mailing address
1965 Al Highway 157
Suite B
Cullman, AL 35058-0672
Phone (256) 775-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-087518 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Pediatrics, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469232000000",
"number": "1568614170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 AL HIGHWAY 157",
"address_2": "SUITE B",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580672",
"telephone_number": "256-775-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 AL HIGHWAY 157",
"address_2": "SUITE B",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580672",
"telephone_number": "256-775-2722",
"fax_number": "256-775-2648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGWELL-SEIFERT",
"first_name": "MELISSA",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2016-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-087518",
"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 Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.