Active NPI
Von Hales, RN
- Nursing Care Agency
- Vestavia Hills, AL
National Provider Identifier
1801480538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 1157701
- Practice address
- 3356 Shallowford Cir
Vestavia Hills, AL 35216-4487 - Phone
- (205) 542-0543
- NPI assigned
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 1157701 | AK | Primary |
Addresses
Primary practice location
3356 Shallowford Cir
Vestavia Hills, AL 35216-4487
Mailing address
3356 Shallowford Cir
Vestavia Hills, AL 35216-4487
Phone (205) 542-0543
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1157701 | AK | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1801480538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 SHALLOWFORD CIR",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352164487",
"telephone_number": "205-542-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 SHALLOWFORD CIR",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352164487",
"telephone_number": "205-542-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALES",
"first_name": "VON",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "AK",
"license": "1157701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.