Individual provider Active NPI

Megan Lenita McClendon, CRNP

  • Family Nurse Practitioner
  • Warrior, AL
National Provider Identifier
1639729411
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09190579 Issued in AL
Practice address
143 White Oak TRL
Warrior, AL 35180-5736
Phone
(205) 647-1819
NPI assigned
Sep 13, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 F09190579 AL Primary

Addresses

Primary practice location

143 White Oak TRL
Warrior, AL 35180-5736

Mailing address

143 White Oak TRL
Warrior, AL 35180-5736
Phone (205) 647-1819

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
I20191212002351 AL Practitioner - Nurse Practitioner 9830522424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care South, Inc.Group PAC ID 3274793039, 7 clinicians
Rural Primary Care South IncGroup PAC ID 5193945095, 4 clinicians

Practice addresses (Care Compare)

143 White Oak TRL
Warrior, AL 35180-5736
Phone (205) 647-1819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09190579ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care South, Inc. CurrentSince Oct 5, 2019 Accepting new patients
Rural Primary Care South, Inc. CurrentSince Mar 26, 2024 Accepting new patients
Urgent Care South, Inc PastSince Sep 15, 2019 Accepting new patients

Locations

143 White Oak Trl
Warrior, AL 35180
Phone (205) 647-1819

143 White Oak Trl
Ste 2
Warrior, AL 35180
Phone (205) 543-6668

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1639729411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WHITE OAK TRL",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351805736",
            "telephone_number": "205-647-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WHITE OAK TRL",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351805736",
            "telephone_number": "205-647-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "MEGAN",
        "middle_name": "LENITA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F09190579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrior, AL

Sources for this page

Verify at the official NPI Registry.