Individual provider Active NPI

Ladonna Edwards, MSN,CRNP

  • Nurse Practitioner
  • Mountain BRK, AL
National Provider Identifier
1609233964
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1081026 Issued in AL
Practice address
2700 Highway 280 S Ste 212
Mountain BRK, AL 35223-2468
Phone
(205) 878-4368
NPI assigned
Jan 18, 2016
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1081026 AL Primary

Addresses

Primary practice location

2700 Highway 280 S Ste 212
Mountain BRK, AL 35223-2468

Mailing address

1090 Shades Crest Rd
Birmingham, AL 35226-1906
Phone (205) 212-8215

Other practice location 1

7191 Cahaba Valley Rd Ste 100B
Birmingham, AL 35242-6461
Phone (205) 559-3651

Other practice location 2

800 Saint Vincents Dr Ste 200
Birmingham, AL 35205-1620
Phone (205) 559-3651

Other names 1

  • Ladonna Hightower Vinson Other name

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
I20160204000551 AL Practitioner - Nurse Practitioner 5395049852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain Center, PCGroup PAC ID 9830524594, 13 clinicians

Practice addresses (Care Compare)

2700 Hwy 280 S
Suite 212
Birmingham, AL 35223-2468
Phone (205) 878-4368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1081026ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Center, PC CurrentSince Dec 1, 2019 Accepting new patients

Locations

2700 Highway 280 S
Ste 212
Mountain Brk, AL 35223
Phone (205) 878-4368

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20537/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ladonna.edwards.1@20537.direct.athenahealth.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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1609233964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SHADES CREST RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352261906",
            "telephone_number": "205-212-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 280 S STE 212",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232468",
            "telephone_number": "205-878-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7191 Cahaba Valley Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352426461",
            "country_code": "US",
            "telephone_number": "205-559-3651",
            "fax_number": "205-558-3654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Saint Vincents Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051620",
            "country_code": "US",
            "telephone_number": "205-559-3651",
            "fax_number": "205-558-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LADONNA",
        "credential": "MSN,CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1081026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADONNA",
            "last_name": "VINSON",
            "middle_name": "HIGHTOWER",
            "credential": "MSN,CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.