Individual provider Active NPI

Tessa Blaire Bair, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1699584052
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-186792 Issued in AL
Practice address
4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678
Phone
(256) 880-1050
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 1-186792 AL Primary

Addresses

Primary practice location

4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678

Mailing address

4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678

Other names 1

  • Tessa Blaire Brown Former name

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
I20250317000086 AL Practitioner - Nurse Practitioner 7911429204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Cardiovascular Clinic, P. C.Group PAC ID 3476546003, 17 clinicians

Practice addresses (Care Compare)

4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1678
Phone (256) 880-1050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Cardiovascular Clinic, P.C. Single Specialty PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 2

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": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1699584052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021678",
            "telephone_number": "256-880-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIR",
        "first_name": "TESSA",
        "middle_name": "BLAIRE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-186792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "BROWN",
            "middle_name": "BLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.