Active NPI
Elizabeth Anne Wessel, CRNP
- Pediatric Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1609070424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-108105
- Practice address
- 2006 Franklin St SE Ste 107
Huntsville, AL 35801-4537 - Phone
- (256) 539-5339
- NPI assigned
- Jun 14, 2007
- Last updated
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-108105 | AL | Primary |
Addresses
Primary practice location
2006 Franklin St SE Ste 107
Huntsville, AL 35801-4537
Mailing address
15410 Hwy 231
Union Grove, AL 35175
Phone (256) 457-5114
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 |
|---|---|---|---|
| 1-108105 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Pediatrics | 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.
-
dba Over The Rainbow Pediatrics
- Pediatrics Physician
- Huntsville, AL
- NPI 1407043102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1609070424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 HWY 231",
"city": "UNION GROVE",
"state": "AL",
"postal_code": "35175",
"telephone_number": "256-457-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SE STE 107",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014537",
"telephone_number": "256-539-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSEL",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-108105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.