Individual provider Active NPI

Courtney Fischer, CRNP

  • Family Nurse Practitioner
  • Birminghgam, AL
National Provider Identifier
1750829909
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23534 Issued in TN
Practice address
4600 Hwy 280
Birminghgam, AL 35242
Phone
(205) 408-1231
Fax
(205) 408-1229
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 1136630 AL
Family Nurse Practitioner 363LF0000X 1-136630 AL
Family Nurse Practitioner 363LF0000X 23534 TN Primary

Addresses

Primary practice location

4600 Hwy 280
Birminghgam, AL 35242

Mailing address

4600 Highway 280
Birmingham, AL 35242-5028
Phone (205) 408-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170331001372 AL Practitioner - Nurse Practitioner 3971888090 Reassigns benefits to 3 organizations
I20180103000237 TN Practitioner - Nurse Practitioner 3971888090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1136630ALMDLicensed Practical Nurse
1-136630ALMDFamily Nurse Practitioner
23534TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhelp Shelby, LLC CurrentSince Sep 27, 2017 Accepting new patients
Med Help 280 LLC CurrentSince Feb 1, 2017 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Dec 15, 2017 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

6690 Nolensville Rd
Brentwood, TN 37027
Phone (615) 941-7640

210 Franklin Rd
Ste 100
Brentwood, TN 37027
Phone (615) 373-8957

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: courtney.fischer.3@17217.direct.athenahealth.com

Organizations & group practices 4

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1750829909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425028",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HWY 280",
            "city": "BIRMINGHGAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "1136630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.