Individual provider Active NPI

Sybil Rochelle Hagler, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1770124091
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-118081 Issued in AL
Practice address
1400 6TH Ave S
Birmingham, AL 35233-1502
Phone
(205) 930-1135
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-118081 AL Primary

Addresses

Primary practice location

1400 6TH Ave S
Birmingham, AL 35233-1502

Mailing address

PO Box 2648
Birmingham, AL 35202-2648
Phone (205) 558-2158

Other practice location 1

631 Bessemer Super Hwy
Birmingham, AL 35228-3013
Phone (205) 715-6121

Other practice location 2

601 West Blvd
Birmingham, AL 35206-1300
Phone (205) 591-5180

Other names 1

  • Mrs. Sybil Rochelle Hewitt 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
I20191231002296 AL Practitioner - Nurse Practitioner 3173957073 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-118081ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Board of Health Current Accepting new patients
Jefferson County Board of Health CurrentSince Oct 22, 2019 Accepting new patients
Jefferson County Board of Health Current Accepting new patients

Locations

1400 6th Ave S
Birmingham, AL 35233
Phone (205) 933-9110

601 West Blvd
Birmingham, AL 35206
Phone (205) 510-3406

631 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 241-5257

Interoperability endpoints

  • Direct secure messaging: sybil.hagler.1@17358.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1770124091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022648",
            "telephone_number": "205-558-2158",
            "fax_number": "205-930-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331502",
            "telephone_number": "205-930-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Bessemer Super Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352283013",
            "country_code": "US",
            "telephone_number": "205-715-6121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 West Blvd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352061300",
            "country_code": "US",
            "telephone_number": "205-591-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGLER",
        "first_name": "SYBIL",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-118081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYBIL",
            "last_name": "HEWITT",
            "middle_name": "ROCHELLE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.