Organization Active NPI

Internal Medicine Associates of Tuscaloosa, P.C.

  • Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1720447048
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-35504 Issued in AL
Legal business name
INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C.
Practice address
100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375
Phone
(205) 349-1824
Fax
(205) 469-2227
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Haley P. Patrick, CRNP
Title
CRNP
Phone
(205) 349-1824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1-35504 AL Primary

Addresses

Primary practice location

100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375

Mailing address

100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375
Phone (205) 349-1824

National Provider Directory

National Provider Directory
Tax ID family
Int Med Assoc Tusc Co PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Rice Mine Rd N
Ste B
Tuscaloosa, AL 35406
Phone (205) 349-4200

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1720447048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-349-1824",
            "fax_number": "205-469-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-349-1824",
            "fax_number": "205-469-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "205-349-1824",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-35504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.