Individual provider Active NPI

Patricia A Patrician, RN

  • Administrator Registered Nurse
  • Birmingham, AL
National Provider Identifier
1770726747
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
1-115564 Issued in AL
Practice address
1530 3Rd Ave S
Nb324
Birmingham, AL 35294-0002
Phone
(205) 996-5211
Fax
(205) 996-7177
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 1-115564 AL Primary

Addresses

Primary practice location

1530 3Rd Ave S
Nb324
Birmingham, AL 35294-0002

Mailing address

941 Castlemaine CT
Birmingham, AL 35226-5917
Phone (205) 916-5131

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-115564ALMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1770726747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CASTLEMAINE CT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352265917",
            "telephone_number": "205-916-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 3RD AVE S",
            "address_2": "NB324",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940002",
            "telephone_number": "205-996-5211",
            "fax_number": "205-996-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICIAN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AL",
            "license": "1-115564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.