Theresa E Landrum, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1030759 Issued in AL

Practice address

2400 Avalon Ave
Muscle Shoals, AL 35661

Phone

(256) 386-0808

Fax

(256) 389-8904

NPI assigned

Sep 25, 2006

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

Other identifiers 1

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Alabama Em-I Medical Services PC

  • Emergency Medicine Physician
  • Muscle Shoals, AL
  • NPI 1013304336

  Nurse Practitioner

  Medicare reassignment NPD
• Curana Health of Alabama LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1144450347
  Medicare reassignment NPD
• Alabama Em I Medical Services PC

  • Emergency Medicine Physician
  • Hamilton, AL
  • NPI 1447615299

  Nurse Practitioner

  NPD
• Avalon Medical Group

  • Internal Medicine Physician
  • Muscle Shoals, AL
  • NPI 1659139772
  NPD
• Family Care First, Inc.

  • Primary Care Clinic/Center
  • Rogersville, AL
  • NPI 1518254333
  NPD (past)
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1720189756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613164",
            "telephone_number": "256-386-0808",
            "fax_number": "256-389-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-386-0808",
            "fax_number": "256-389-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "THERESA",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1030759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "051119112",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KL Arnold Enterprises, Inc
• Jessica Knapmeyer, CRNP
• Ashley Krieger, MS, CCC-SLP
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Brittney Langdon, PHARMD
• Larry Thomas Layne, DO
• Edward R Leathers, RPH
• Natashia L Ledlow, CRNP
• Life Counseling Center, LLC

• Nurse Practitioner in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.