Individual provider Active NPI

Patricia D Wilhite, CRNP

  • Nurse Practitioner
  • Vinemont, AL
National Provider Identifier
1639329576
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-073810 Issued in AL
Practice address
40131 County Road 1141
Vinemont, AL 35179
Phone
(256) 531-4987
NPI assigned
Sep 29, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-073810 AL Primary

Addresses

Primary practice location

40131 County Road 1141
Vinemont, AL 35179

Mailing address

380 County Road 1200
Vinemont, AL 35179-4601
Phone (256) 531-4987

Other practice location 1

1800 Al Hwy 157
Suite 301
Cullman, AL 35058-0600
Phone (256) 736-1615

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
I20081218000563 AL Practitioner - Nurse Practitioner 2365501954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4131 County Rd
Suite 1141
Vinemont, AL 35179-8796
Phone (256) 531-2784

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-073810ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 19, 2008 Accepting new patients
West Point Family Medical Practice LLC CurrentSince Apr 2, 2018 Accepting new patients
Urgent Care of Alabama LLC CurrentSince Sep 1, 2014 Accepting new patients
Cullman Primary Care, PC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252

4131 County Road 1141
Vinemont, AL 35179
Phone (256) 531-2784

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639329576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 COUNTY ROAD 1200",
            "city": "VINEMONT",
            "state": "AL",
            "postal_code": "351794601",
            "telephone_number": "256-531-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40131 COUNTY ROAD 1141",
            "city": "VINEMONT",
            "state": "AL",
            "postal_code": "35179",
            "telephone_number": "256-531-4987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 AL HWY 157",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580600",
            "country_code": "US",
            "telephone_number": "256-736-1615",
            "fax_number": "256-736-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-073810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinemont, AL

Sources for this page

Verify at the official NPI Registry.