Active NPI
Wellspot, Inc
- Family Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1609893445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-055040
- Legal business name
- WELLSPOT, INC
- Practice address
- 335 Summit Blvd
Birmingham, AL 35243 - Phone
- (205) 969-3608
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Paul Kajdos
- Title
- Coo
- Phone
- (205) 988-9577
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-022229 | AL | |
| Family Nurse Practitioner | 363LF0000X | APN1171 | SC | |
| Family Nurse Practitioner | 363LF0000X | 1-097558 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-055956 | AL | |
| Family Nurse Practitioner | 363LF0000X | APN1282 | SC | |
| Family Nurse Practitioner | 363LF0000X | APRN11 | SC | |
| Family Nurse Practitioner | 363LF0000X | 1-098736 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-053893 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-036797 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-040024 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-037793 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-094910 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-095779 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-061723 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-055040 | AL | Primary |
Addresses
Primary practice location
335 Summit Blvd
Birmingham, AL 35243
Mailing address
2125 Data Office Dr.
Suite 102
Hoover, AL 35244
Phone (205) 988-9577
National Provider Directory
National Provider Directory- Tax ID family
- Wellspot Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1174719736
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Birmingham, AL
- NPI 1174718779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609893445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 DATA OFFICE DR.",
"address_2": "SUITE 102",
"city": "HOOVER",
"state": "AL",
"postal_code": "35244",
"telephone_number": "205-988-9577",
"fax_number": "205-985-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 SUMMIT BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35243",
"telephone_number": "205-969-3608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPOT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAJDOS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "205-988-9577"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-022229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN1171",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-097558",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-055956",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN1282",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APRN11",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-098736",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-053893",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-036797",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-040024",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-037793",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-094910",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-095779",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-061723",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-055040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.