NPIMap

Organization Active NPI

Valley Medical and Urgent Care, LLC

  • Acute Care Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1831782689
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
VALLEY MEDICAL AND URGENT CARE, LLC
Practice address
1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957
Phone
(256) 397-8842
Fax
(256) 382-3364
NPI assigned
Feb 12, 2021
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Russell Bien, NPNPI 1245449271
Title
Member
Phone
(256) 397-8842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Acute Care Nurse Practitioner 363LA2100X Primary

Addresses

Primary practice location

1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957

Mailing address

1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957
Phone (256) 397-8842

Other identifiers 1

IdentifierTypeStateIssuer
264331MedicaidAL

National Provider Directory

National Provider Directory

Locations

1110 E 6th St
Ste D
Muscle Shoals, AL 35661
Phone (256) 397-8842

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23334/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1831782689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E 6TH ST STE D",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613957",
            "telephone_number": "256-397-8842",
            "fax_number": "256-382-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E 6TH ST STE D",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613957",
            "telephone_number": "256-397-8842",
            "fax_number": "256-382-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL AND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BIEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-397-8842",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264331",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.