Individual provider Active NPI

Evelyn Renee Staude, MSN, RN, CRNP

  • Family Nurse Practitioner
  • Oxford, AL
National Provider Identifier
1730295148
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1044391 Issued in AL
Practice address
1400 Highway Dr
Oxford, AL 36203-1951
Phone
(256) 231-7500
Fax
(256) 231-7501
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1044391 AL Primary

Addresses

Primary practice location

1400 Highway Dr
Oxford, AL 36203-1951

Mailing address

PO Box 2345
Anniston, AL 36202-2345
Phone (256) 231-7500

Other names 1

  • Renee Hall Staude Other name

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
I20061002000598 AL Practitioner - Nurse Practitioner 1850396532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1044391ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Management Corporation CurrentSince Aug 24, 2015 Accepting new patients
Regional Health Management Corporation CurrentSince Aug 24, 2015 Accepting new patients

Locations

901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015

1400 Highway Dr
Oxford, AL 36203
Phone (256) 231-7500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1730295148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2345",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362022345",
            "telephone_number": "256-231-7500",
            "fax_number": "256-231-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031951",
            "telephone_number": "256-231-7500",
            "fax_number": "256-231-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDE",
        "first_name": "EVELYN",
        "middle_name": "RENEE",
        "credential": "MSN, RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1044391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "STAUDE",
            "middle_name": "HALL",
            "credential": "MSN,RN,CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.