Active NPI
Muriel Aline Desimone, MD
- Pediatrics Physician
- Huntsville, AL
National Provider Identifier
1760471973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33937
- Practice address
- 115 Manning Drive
Suite a-101
Huntsville, AL 35801 - Phone
- (256) 533-1030
- Fax
- (256) 533-1043
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9453 | NV | |
| Pediatrics Physician | 208000000X | 33937 | AL | Primary |
Addresses
Primary practice location
115 Manning Drive
Suite a-101
Huntsville, AL 35801
Mailing address
115 Manning Drive
Suite a-101
Huntsville, AL 35801
Phone (256) 533-1030
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33937 | AL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760471973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MANNING DRIVE",
"address_2": "SUITE A-101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-533-1030",
"fax_number": "256-533-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MANNING DRIVE",
"address_2": "SUITE A-101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-533-1030",
"fax_number": "256-533-1043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "MURIEL",
"middle_name": "ALINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "9453",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "33937",
"primary": true
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.