Quanita Latrese Pharris, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-144868 Issued in AL

Practice address

3800 Ridgeway Dr
Birmingham, AL 35209-5506

Phone

(205) 868-2000

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• American Wound Care Al, PLLC

  • Wound Care Registered Nurse
  • Birmingham, AL
  • NPI 1518732346
  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment
• Integrated Behavioral Health, Inc.

  • Psychiatry Physician
  • Madison, AL
  • NPI 1730522699
  Medicare reassignment
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498
  Medicare reassignment
• Frank H Rudeseal, Jr., DC, LLC

  • Chiropractor
  • Hoover, AL
  • NPI 1205382397
  NPD (past)
• Frank H. Rudeseal, M.D., P.C.

  • Internal Medicine Physician
  • Hoover, AL
  • NPI 1922218270
  NPD (past)

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1609695543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 MEADOW LAKE TRL",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350208125",
            "telephone_number": "205-276-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-868-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2057 Valleydale Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352442712",
            "country_code": "US",
            "telephone_number": "205-949-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHARRIS",
        "first_name": "QUANITA",
        "middle_name": "LATRESE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Pharis
• Pharmacotherapy Consultant Service, LLC
• Pharmacy Link Inc
• Pharmacy Solutions, LLC
• Pharmala Specialty Pharmacy LLC (Pharmsouth Pharmacy)
• Anthony Paul Phelps
• Philip J. Fischer, II, M.D.,P.C.
• Ronald G Philipp, DMD
• Joseph B Philips III, M.D.
• Natalie Phillips Taylor, LCSW

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.