Active NPI
Michael Jerome Sturdivant
- Naturopath
- Huntsville, AL
National Provider Identifier
1730050014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Practice address
- 3311 Bob Wallace Ave SW Ste 205
Huntsville, AL 35805-4064 - Phone
- (256) 690-3943
- NPI assigned
- Sep 17, 2025
- Last updated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | AL | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AL | ||
| Mental Health Counselor | 101YM0800X | AL | ||
| Professional Counselor | 101YP2500X | AL | ||
| Group Psychotherapy Psychologist | 103TP2701X | AL | ||
| Marriage & Family Therapist | 106H00000X | AL | ||
| Nutritionist | 133N00000X | AL | ||
| Naturopath | 175F00000X | AL | Primary | |
| Homeopath | 175L00000X | AL | ||
| Massage Therapist | 225700000X | AL | ||
| Reflexologist | 173C00000X | AL | ||
| Meals Provider | 174200000X | AL | ||
| Health Educator | 174H00000X | AL | ||
| Health & Wellness Coach | 171400000X | AL | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | AL |
Addresses
Primary practice location
3311 Bob Wallace Ave SW Ste 205
Huntsville, AL 35805-4064
Mailing address
4100 Market St Ste 100
Huntsville, AL 35808-3007
Phone (256) 203-3883
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Closed Gap Solutions LLC | Mental Health | Current | Accepting new patients |
| Heavens Hideaway Wellness and Spa | Past | Accepting new patients |
Locations
3311 Bob Wallace Ave SW
Ste 205
Huntsville, AL 35805
Phone (256) 690-3943
4100 Market St
Ste 100
Huntsville, AL 35808
Phone (256) 274-0382
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.
-
- Specialist
- Huntsville, AL
- NPI 1417896663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1730050014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MARKET ST STE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358083007",
"telephone_number": "256-203-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 BOB WALLACE AVE SW STE 205",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358054064",
"telephone_number": "256-690-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDIVANT",
"first_name": "MICHAEL",
"middle_name": "JEROME",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-17",
"last_updated": "2025-10-24",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.