Individual provider Active NPI

Marla J Couture, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1699775403
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-098169 Issued in AL
Practice address
324 Commons Dr Ste 305
Birmingham, AL 35209-6962
Phone
(334) 442-9805
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham Internal Medicine Associates, LLC 123 clinicians

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8219

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
I20040308000801 AL Practitioner - Nurse Practitioner 6608764097 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-098169ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 6, 2020 Accepting new patients
Birmingham Internal Medicine Associates, LLC CurrentSince Sep 30, 2024 Accepting new patients
Galileo Medical Group Al, P.C. CurrentSince Feb 20, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

324 Commons Dr
Ste 305
Birmingham, AL 35209
Phone (334) 442-9805

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

324 Commons Dr
Birmingham, AL 35209
Phone (334) 442-9805

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-098169 AL Primary

Addresses

Primary practice location

324 Commons Dr Ste 305
Birmingham, AL 35209-6962

Mailing address

324 Commons Dr Ste 305
Birmingham, AL 35209-6962
Phone (334) 442-9805

Other identifiers 1

IdentifierTypeStateIssuer
51519104OtherALBLUE CROSS & BLUE SHIELD

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1699775403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 COMMONS DR STE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096962",
            "telephone_number": "334-442-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 COMMONS DR STE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096962",
            "telephone_number": "334-442-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "MARLA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-098169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51519104",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.