Individual provider Active NPI

Almatriga Vladzetta Essex

  • Prosthetic/Orthotic Supplier
  • Northport, AL
National Provider Identifier
1598248205
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
94185 Issued in AL
Practice address
3330 Main Ave
Northport, AL 35476-5205
Phone
(205) 239-8210
Fax
(205) 891-8274
NPI assigned
Sep 9, 2018
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 94185 AL Primary

Addresses

Primary practice location

3330 Main Ave
Northport, AL 35476-5205

Mailing address

3330 Main Ave
Northport, AL 35476-5205
Phone (205) 239-8210

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

LicenseStateTypeSpecialty
94185ALMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Studiov HLC Specialist Current Accepting new patients

Locations

1110 15th St
Ste G
Tuscaloosa, AL 35401
Phone (205) 239-8210

Interoperability endpoints

  • Direct secure messaging: aessex@svh-al.direct.office.nextgen.com

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": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1598248205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MAIN AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354765205",
            "telephone_number": "205-239-8210",
            "fax_number": "205-891-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MAIN AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354765205",
            "telephone_number": "205-239-8210",
            "fax_number": "205-891-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSEX",
        "first_name": "ALMATRIGA",
        "middle_name": "VLADZETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "94185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.