NPIMap

Organization Active NPI

Northeast Alabama Health & Wellness, LLC

  • Primary Care Clinic/Center
  • Rainsville, AL
National Provider Identifier
1578294864
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NORTHEAST ALABAMA HEALTH & WELLNESS, LLC
Practice address
124 McCurdy Ave S
Rainsville, AL 35986-5206
Phone
(256) 996-4158
NPI assigned
Jun 18, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Tyson Scott Rainer, CRNPNPI 1407363146
Title
CRNP/Owner
Phone
(256) 638-8513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

124 McCurdy Ave S
Rainsville, AL 35986-5206

Mailing address

PO Box 2420
Rainsville, AL 35986

National Provider Directory

National Provider Directory

Locations

124 McCurdy Ave S
Rainsville, AL 35986
Phone (256) 638-3766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1578294864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2420",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MCCURDY AVE S",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865206",
            "telephone_number": "256-996-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALABAMA HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "RAINER",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CRNP/OWNER",
        "authorized_official_telephone_number": "256-638-8513",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.