Individual provider Active NPI

Rebecca Ann Watkins, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1578074522
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-136864 Issued in AL
Practice address
504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone
(205) 871-9661
Fax
(205) 870-1621
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-136864 AL Primary

Addresses

Primary practice location

504 Brookwood Blvd
Birmingham, AL 35209-6802

Mailing address

504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone (205) 871-9661

Other practice location 1

1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273
Phone (205) 871-9661

Other practice location 2

7274 Gadsden Hwy Ste 100
Trussville, AL 35173-2639
Phone (205) 871-9661

Other practice location 3

2100 Data Park Ste 200
Hoover, AL 35244-1235
Phone (205) 871-9661

Other practice location 4

1022 1st St N Ste 300
Alabaster, AL 35007-8725
Phone (205) 871-9661

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514001632 AL Practitioner - Nurse Practitioner 0648534990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Allergist of Florida LLC PastSince Oct 2, 2017 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578074522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Al Highway 157 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350581273",
            "country_code": "US",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7274 Gadsden Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351732639",
            "country_code": "US",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Data Park Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352441235",
            "country_code": "US",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1022 1st St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078725",
            "country_code": "US",
            "telephone_number": "205-871-9661",
            "fax_number": "205-870-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.