Individual provider Active NPI

Torri Selvage, CRNP

  • Family Nurse Practitioner
  • Hanceville, AL
National Provider Identifier
1760856926
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-110134 Issued in AL
Practice address
307 Main St SW
Hanceville, AL 35077-5476
Phone
(256) 352-4766
Fax
(256) 352-4797
NPI assigned
Nov 25, 2015
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 1-110134 AL Primary

Addresses

Primary practice location

307 Main St SW
Hanceville, AL 35077-5476

Mailing address

3007 Memorial Pkwy SW Ste B
Huntsville, AL 35801-5394

Other practice location 1

3007 Memorial Pkwy SW Ste B
Huntsville, AL 35801-5394
Phone (256) 799-2500

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
I20151221000137 AL Practitioner - Nurse Practitioner 8628379468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Internal Medicine, PCGroup PAC ID 2365354339, 28 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Suite 300
Cullman, AL 35058-0689
Phone (256) 737-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-110134ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Clinic LLC CurrentSince Jun 7, 2016 Accepting new patients
Zaheer a Khan MD PC CurrentSince Dec 11, 2015 Accepting new patients
Midway Medical Clinic LLC CurrentSince Jun 7, 2016 Accepting new patients
Cullman Internal Medicine, PC CurrentSince Jul 25, 2022 Accepting new patients
Growing Up Pediatrics, P.C. Past Accepting new patients
Horizon Medical Clinic LLC Past Accepting new patients

Locations

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

111 Brooklyn Rd
Holly Pond, AL 35083
Phone (256) 451-1250

3007 Memorial Pkwy SW
Ste B
Huntsville, AL 35801
Phone (256) 799-2500

27550 State Highway 75
Ste 105
Oneonta, AL 35121
Phone (205) 625-4930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17774/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1760856926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 MEMORIAL PKWY SW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST SW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775476",
            "telephone_number": "256-352-4766",
            "fax_number": "256-352-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Memorial Pkwy SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015394",
            "country_code": "US",
            "telephone_number": "256-799-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVAGE",
        "first_name": "TORRI",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanceville, AL

Sources for this page

Verify at the official NPI Registry.