Active NPI
Judy Allgood, CRNP
- Acute Care Nurse Practitioner
- Centreville, AL
National Provider Identifier
1609969203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-022321
- Practice address
- 208 Pierson Avenue
Centreville, AL 35042 - Phone
- (205) 926-4694
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 25, 2015
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204001122 | AL | Practitioner - Nurse Practitioner | 3375448038 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-022321 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bibb Medical Center | Past | Accepting new patients | |
| The Bibb County Healthcare Authority | Past | Accepting new patients | |
| Bibb County Hospital Board | Past | Accepting new patients | |
| The Bibb County Health Care Authority | Past | Accepting new patients | |
| The Bibb County Healthcare Authority | Past | Accepting new patients | |
| The Bibb County Health Care Authority | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Bibb Medical Center
- General Acute Care Hospital
- Centreville, AL
- NPI 1437377793
-
dba Bibb Medical Center Pharmacy
- Long Term Care Pharmacy
- Centreville, AL
- NPI 1104530963
-
dba BMC Brierfield
- Primary Care Clinic/Center
- Brierfield, AL
- NPI 1861219685
-
dba Bibb Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Centreville, AL
- NPI 1306062229
-
dba Bibb Medical Center Nursing Home
- Skilled Nursing Facility
- Centreville, AL
- NPI 1407885734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.