Individual provider Active NPI

Suzanne Allison Cantley, CRNP, CDE

  • Family Nurse Practitioner
  • Trussville, AL
National Provider Identifier
1790041978
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-062554 Issued in AL
Practice address
220 Main St Ste 112
Trussville, AL 35173-2524
Phone
(205) 749-8940
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 1-062554 AL Primary

Addresses

Primary practice location

220 Main St Ste 112
Trussville, AL 35173-2524

Mailing address

PO Box 11407
Birmingham, AL 35202-1407

Other practice location 1

1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9400

Other identifiers 1

IdentifierTypeStateIssuer
150139MedicaidAL

Other names 1

  • Melanie Suzanne Allison Cantley 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
I20140709002634 AL Practitioner - Nurse Practitioner 2365667276 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 393-7000

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-062554ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Mar 10, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 19, 2014 Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 1, 2021 Accepting new patients
Vincentian Physician Services LLC Family CurrentSince May 1, 2025 Accepting new patients
Baptist Health Centers, LLC CurrentSince Mar 10, 2024 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince May 19, 2014 Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 1, 2021 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1601 4th Ave S
#G20
Birmingham, AL 35233

908 20th St S
Birmingham, AL 35205
Phone (205) 934-4108

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

7201 Happy Hollow Rd
Unit 202A
Trussville, AL 35173

220 Main St
Ste 112
Trussville, AL 35173
Phone (205) 749-8940

Interoperability endpoints

  • Direct secure messaging: suzanne.cantley.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: suzanne.cantley.1@9069.direct.athenahealth.com
  • Direct secure messaging: scantley85497@baptisthealthaldirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1790041978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST STE 112",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732524",
            "telephone_number": "205-749-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331711",
            "country_code": "US",
            "telephone_number": "205-638-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTLEY",
        "first_name": "SUZANNE",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "CRNP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-062554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150139",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE SUZANNE",
            "last_name": "CANTLEY",
            "middle_name": "ALLISON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.