Individual provider Active NPI

Bonnie Elizabeth McCormick

  • Home Health Aide
  • Birmingham, AL
National Provider Identifier
1659026326
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
00181871 Issued in AL
Practice address
2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone
(205) 905-7874
Fax
(205) 314-4701
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 00181871 AL Primary

Addresses

Primary practice location

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733

Mailing address

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone (205) 905-7874

Other identifiers 1

IdentifierTypeStateIssuer
1659026326OtherAL342000000X

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bonnieallen90@gmail.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00181871ALMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1659026326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "205-905-7874",
            "fax_number": "205-314-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "205-905-7874",
            "fax_number": "205-314-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": "00181871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "342000000X",
            "identifier": "1659026326",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bonnieallen90@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2700 Corporate Dr Ste 200",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352422733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.