Active NPI
Aimee Chism Holland, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1649207424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 1096935
- Practice address
- 1515 6TH Ave S
Birmingham, AL 35233-1601 - Phone
- (205) 279-2860
- Fax
- (205) 252-0197
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1096935 | AL | Primary |
Addresses
Primary practice location
1515 6TH Ave S
Birmingham, AL 35233-1601
Mailing address
PO Box 55845
Birmingham, AL 35255-5845
Phone (205) 279-2860
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051521393 | Other | AL | BLUE CROSS |
| 051524693 | Other | AL | BLUE CROSS |
| 891007650 | Medicaid | AL | |
| 891007660 | Medicaid | AL | |
| 051521394 | Other | AL | BLUE CROSS |
| 891007600 | Medicaid | AL | |
| 891007640 | Medicaid | AL | |
| 891009090 | Medicaid | AL | |
| 051521402 | Other | AL | BLUE CROSS |
| 051521395 | Other | AL | BLUE CROSS |
| 891007610 | Medicaid | AL | |
| 051521401 | Other | AL | BLUE CROSS |
| 051524692 | Other | AL | BLUE CROSS |
| 891007620 | Medicaid | AL | |
| 891009070 | Medicaid | AL | |
| 051521396 | Other | AL | BLUE CROSS |
| 891007630 | Medicaid | AL | |
| 051524691 | Other | AL | BLUE CROSS |
| 051521400 | Other | AL | BLUE CROSS |
| 891009080 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096935 | AL | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1649207424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55845",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555845",
"telephone_number": "205-279-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331601",
"telephone_number": "205-279-2860",
"fax_number": "205-252-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "AIMEE",
"middle_name": "CHISM",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AL",
"license": "1096935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521393",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524693",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007650",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007660",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521394",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007600",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007640",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891009090",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521402",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521395",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007610",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521401",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524692",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007620",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891009070",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521396",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891007630",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524691",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521400",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891009080",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.