Individual provider Active NPI

Robin Elizabeth Ostberg, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1790022341
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-108986 Issued in AL
Practice address
805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1636
Phone
(205) 595-5504
Fax
(205) 592-3427
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-108986 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1636

Mailing address

805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1636
Phone (205) 595-5504

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721001995 AL Practitioner - Family PracticePractitioner - Internal Medicine 2365755238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seale Harris Clinic P CGroup PAC ID 8325032451, 11 clinicians

Practice addresses (Care Compare)

805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1641
Phone (205) 769-3738

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seale Harris Clinic P C CurrentSince Feb 15, 2016 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 510
Birmingham, AL 35205
Phone (205) 595-5504

3 Digital Dr
Birmingham, AL 35243
Phone (205) 397-1016

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10041301

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.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1790022341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 510",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-595-5504",
            "fax_number": "205-592-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 510",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-595-5504",
            "fax_number": "205-592-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTBERG",
        "first_name": "ROBIN",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-108986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.