Active NPI
Heather Nichole Talley, CCLS
- Case Manager/Care Coordinator
- Wetumpka, AL
National Provider Identifier
1619201514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 10262
- Practice address
- 350 McDonald Dr
Wetumpka, AL 36092-8079 - Phone
- (334) 315-9230
- NPI assigned
- Sep 24, 2009
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 10262 | AL | Primary |
Addresses
Primary practice location
350 McDonald Dr
Wetumpka, AL 36092-8079
Mailing address
350 McDonald Dr
Wetumpka, AL 36092-8079
Phone (334) 315-9230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10262 | AL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1619201514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 MCDONALD DR",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360928079",
"telephone_number": "334-315-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MCDONALD DR",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360928079",
"telephone_number": "334-315-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "HEATHER",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "CCLS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AL",
"license": "10262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.