Individual provider Active NPI

Olivia Skye Vise, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1841663051
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-120762 Issued in AL
Practice address
3686 Grandview Pkwy Ste 500
Birmingham, AL 35243-3509
Phone
(205) 802-2000
Fax
(205) 776-6155
NPI assigned
Nov 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-120762 AL
Adult Health Nurse Practitioner 363LA2200X 1-120762 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 500
Birmingham, AL 35243-3509

Mailing address

3686 Grandview Pkwy Ste 500
Birmingham, AL 35243-3509
Phone (205) 802-2000

Other practice location 1

320 Coosa St E
Talladega, AL 35160-2276
Phone (256) 362-3636

Other practice location 2

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204000614 AL Practitioner - Nurse Practitioner 0648574103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of the Southeast PCGroup PAC ID 4486630415, 10 clinicians

Practice addresses (Care Compare)

40 Inverness Ctr Pkwy
Suite 200
Hoover, AL 35242-4988
Phone (205) 802-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.88 of 100Reported as group
Quality
83.3
Promoting interoperability
100
Improvement activities
40
Cost
76.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-120762ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of the Southeast PC CurrentSince May 18, 2019 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 500
Birmingham, AL 35243
Phone (205) 802-2000

40 Inverness Center Pkwy
Ste 200
Hoover, AL 35242
Phone (205) 802-2000

Interoperability endpoints

  • Direct secure messaging: olivia.vise.1@20095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20095/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 4

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841663051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433509",
            "telephone_number": "205-802-2000",
            "fax_number": "205-776-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433509",
            "telephone_number": "205-802-2000",
            "fax_number": "205-776-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Coosa St E",
            "address_purpose": "LOCATION",
            "city": "Talladega",
            "state": "AL",
            "postal_code": "351602276",
            "country_code": "US",
            "telephone_number": "256-362-3636",
            "fax_number": "256-362-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351259314",
            "country_code": "US",
            "telephone_number": "205-814-9284",
            "fax_number": "205-814-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISE",
        "first_name": "OLIVIA",
        "middle_name": "SKYE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-120762",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-120762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.