Individual provider Active NPI

Judy Allgood, CRNP

  • Acute Care Nurse Practitioner
  • Centreville, AL
National Provider Identifier
1609969203
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-022321 Issued in AL
Practice address
208 Pierson Avenue
Centreville, AL 35042
Phone
(205) 926-4694
NPI assigned
Oct 2, 2006
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-022321 AL Primary

Addresses

Primary practice location

208 Pierson Avenue
Centreville, AL 35042

Mailing address

370 Highway 25
Brierfield, AL 35035
Phone (205) 665-1378

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
I20031204001122 AL Practitioner - Nurse Practitioner 3375448038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-022321ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bibb Medical Center PastSince Jan 1, 1990 Accepting new patients
The Bibb County Healthcare Authority PastSince Jan 1, 1990 Accepting new patients
Bibb County Hospital Board PastSince Jan 1, 1990 Accepting new patients
The Bibb County Health Care Authority PastSince Jan 1, 1990 Accepting new patients
The Bibb County Healthcare Authority PastSince Jan 1, 1990 Accepting new patients
The Bibb County Health Care Authority PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13200/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1609969203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HIGHWAY 25",
            "city": "BRIERFIELD",
            "state": "AL",
            "postal_code": "35035",
            "telephone_number": "205-665-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "35042",
            "telephone_number": "205-926-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "JUDY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-022321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.