Tina Marie Syphrit, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-072560 Issued in AL

Practice address

23280 Gilbert Drive
Robertsdale, AL 36567

Phone

(251) 947-1910

Fax

(251) 947-5703

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• City of Jackson Healthcare Authority

  • Rural Acute Care Hospital
  • Jackson, AL
  • NPI 1952427874
  Medicare reassignment NPD
• City of Jackson Healthcare Authority

  • Home Health Agency
  • Jackson, AL
  • NPI 1770593204
  NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1699237255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST STE 1600",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043721",
            "telephone_number": "334-206-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23280 GILBERT DRIVE",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-1910",
            "fax_number": "251-947-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYPHRIT",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-072560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starling Pharmacy
• Charles Starling, RPH
• Joseph C Steele III, M.D.
• Raikesha Sullivan
• Symbol Health Solutions, L.LC.
• Wanda Taylor, LPC
• Third Coast Optical, LLC
• Melissa Durham Turberville, RPH
• Michael Twilley
• W. Jason Northcutt, DMD, PC

• Family Nurse Practitioner in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.