Active NPI
Celeste Renee Richardson, CRNP
- Family Nurse Practitioner
- Trussville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-122394
- Practice address
- 7201 Happy Hollow Rd Ste 101
Trussville, AL 35173-2459 - Phone
- (205) 655-3721
- Fax
- (205) 665-3814
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-122394 | AL | Primary |
Addresses
Primary practice location
7201 Happy Hollow Rd Ste 101
Trussville, AL 35173-2459
Mailing address
70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-9284
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000354 | AL | Practitioner - Nurse Practitioner | 3971897554 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Birmingham Internal Medicine Associates, LLC
Practice addresses (Care Compare)
7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-122394 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Alabama LLC | Current | Accepting new patients | |
| Birmingham Internal Medicine Associates, LLC | Family | Current | Accepting new patients |
Locations
210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252
7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060
70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284
74 Plaza Dr
Pell City, AL 35125
Phone (205) 814-7272
480 Walker Dr
Springville, AL 35146
Phone (205) 467-6919
7201 Happy Hollow Rd
Ste 101
Trussville, AL 35173
Phone (205) 655-3721
1960 Gadsden Hwy
Ste 108
Trussville, AL 35235
Phone (205) 655-1016
Interoperability endpoints
- celeste.richardson.1@15135.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598796542
AL, Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1801245352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 PLAZA DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351259314",
"telephone_number": "205-814-9284",
"fax_number": "205-814-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 HAPPY HOLLOW RD STE 101",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351732459",
"telephone_number": "205-655-3721",
"fax_number": "205-665-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CELESTE",
"middle_name": "RENEE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-122394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.