Individual provider Active NPI

Tara C Fulmer, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1649415142
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-096758 Issued in AL
Practice address
1940 Elmer J Bissell Rd
Birmingham, AL 35243-2941
Phone
(205) 638-4768
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-096758 AL Primary

Addresses

Primary practice location

1940 Elmer J Bissell Rd
Birmingham, AL 35243-2941

Mailing address

208 Wild Timber Pkwy
Pelham, AL 35124-2534
Phone (205) 337-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217002731 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416258397 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-096758ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2019 Accepting new patients
Uab Callahan Eye Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2016 Accepting new patients
Varicosity LLC CurrentSince Feb 1, 2022 Accepting new patients
Uab Callahan Eye Hospital Authority CurrentSince Aug 29, 2016 Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2017 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 9, 2021 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2020 Accepting new patients
Anesthesiologists Associated PC CurrentSince Oct 19, 2019 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Southern Perioperative Services P C CurrentSince Jun 1, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Current Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients

Locations

1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

200 Wildwood Pkwy
Ste 100A
Homewood, AL 35209
Phone (205) 623-4200

7191 Cahaba Valley Rd
Ste 102
Hoover, AL 35242
Phone (205) 408-6600

4511 Southlake Pkwy
Hoover, AL 35244
Phone (205) 985-4398

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1501 Forest Ave
Montgomery, AL 36106
Phone (334) 265-3140

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1649415142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WILD TIMBER PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242534",
            "telephone_number": "205-337-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ELMER J BISSELL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432941",
            "telephone_number": "205-638-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "TARA",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-096758",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.