Individual provider Active NPI

Rebecca Harris, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1629014352
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-049747 Issued in AL
Practice address
1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689
Phone
(256) 737-8000
Fax
(256) 737-8058
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-049747 AL Primary

Addresses

Primary practice location

1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689

Mailing address

1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689
Phone (256) 737-8000

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
I20050518000119 AL Practitioner - Nurse Practitioner 3173564325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson and Walton Womens Center PCGroup PAC ID 9133152697, 18 clinicians

Practice addresses (Care Compare)

806 Saint Vincents Dr
Birmingham, AL 35205-1616
Phone 20593018001847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-049747ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson & Walton Womens Center PC CurrentSince Jan 22, 2016 Accepting new patients

Locations

806 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 930-1800

212 4th Ave SE
Ste 200
Cullman, AL 35055
Phone (205) 930-1800

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.433
  • Direct secure messaging: rharris@hendersonwalton.gwaydirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1629014352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "REBECCA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-049747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.