Active NPI
Connie McCormick
- Registered Nurse
- Cullman, AL
National Provider Identifier
1710529797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-142639
- Practice address
- 1909 Commerce Ave
Cullman, AL 35055-6151 - Phone
- (256) 734-4688
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Registered Nurse | 163W00000X | 1-142639 | AL | Primary |
Addresses
Primary practice location
1909 Commerce Ave
Cullman, AL 35055-6151
Mailing address
1909 Commerce Ave
Cullman, AL 35055-6151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-142639 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1710529797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 COMMERCE AVE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350556151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 COMMERCE AVE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350556151",
"telephone_number": "256-734-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-142639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.