Individual provider Active NPI

Hannah Renn Smith, CRNP

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1750122834
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F06240267 Issued in AL
Practice address
809 University Blvd E
Tuscaloosa, AL 35401-2071
Phone
(205) 759-7122
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X F06240267 AL
Family Medicine Physician 207Q00000X F06240267 AL Primary

Addresses

Primary practice location

809 University Blvd E
Tuscaloosa, AL 35401-2071

Mailing address

4406 4TH Ave E
Northport, AL 35473-5116
Phone (850) 368-3806

Other practice location 1

2700 Hospital Dr
Northport, AL 35476-3360
Phone (205) 333-4500

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
I20241031003416 AL Practitioner - Nurse Practitioner 7315470184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Regional, LLCGroup PAC ID 9436401106, 29 clinicians

Practice addresses (Care Compare)

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06240267ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Northport, LLC CurrentSince Aug 19, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC CurrentSince Jun 27, 2024 Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1750122834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 4TH AVE E",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735116",
            "telephone_number": "850-368-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012071",
            "telephone_number": "205-759-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354763360",
            "country_code": "US",
            "telephone_number": "205-333-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HANNAH",
        "middle_name": "RENN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AL",
            "license": "F06240267",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "F06240267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.