Active NPI
Tabitha McMullin Fletcher, CRNP
- Gerontology Nurse Practitioner
- Hoover, AL
National Provider Identifier
1780128421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1-143204
- Practice address
- 5330 Stadium Trace Pkwy Ste 150
Hoover, AL 35244-4528 - Phone
- (205) 588-1748
- Fax
- (205) 558-2554
- NPI assigned
- Dec 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-143204 | AL | Primary |
Addresses
Primary practice location
5330 Stadium Trace Pkwy Ste 150
Hoover, AL 35244-4528
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other practice location 1
2321 John Hawkins Pkwy
Hoover, AL 35244-3540
Phone (205) 989-7254
Other names 1
- Tabitha McMullin
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-143204 | AL | MD | Gerontology Nurse Practitioner |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hoover, AL
- NPI 1457032500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1780128421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310",
"telephone_number": "205-731-9701",
"fax_number": "205-297-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 STADIUM TRACE PKWY STE 150",
"city": "HOOVER",
"state": "AL",
"postal_code": "352444528",
"telephone_number": "205-588-1748",
"fax_number": "205-558-2554"
}
],
"practiceLocations": [
{
"address_1": "2321 John Hawkins Pkwy",
"address_purpose": "LOCATION",
"city": "Hoover",
"state": "AL",
"postal_code": "352443540",
"country_code": "US",
"telephone_number": "205-989-7254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "TABITHA",
"middle_name": "MCMULLIN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-15",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-143204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABITHA",
"last_name": "MCMULLIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.