Individual provider Active NPI

Emily Goodwin Emanuelsen, CRNP

  • General Practice Physician
  • Rainbow City, AL
National Provider Identifier
1861382723
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1-112301 Issued in AL
Practice address
190 Independent Dr Ste a
Rainbow City, AL 35906-3286
Phone
(256) 442-1834
Fax
(877) 991-4819
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1-112301 AL Primary

Addresses

Primary practice location

190 Independent Dr Ste a
Rainbow City, AL 35906-3286

Mailing address

190 Independent Dr Ste a
Rainbow City, AL 35906-3286
Phone (256) 442-1834

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
I20260429003055 AL Practitioner - Nurse Practitioner 3779050570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Holdings LLCGroup PAC ID 1951611417, 3 clinicians

Practice addresses (Care Compare)

190 Independent Dr
Suite a
Rainbow City, AL 35906-3286
Phone (256) 442-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-112301ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Holdings, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

190 Independent Dr
Ste A
Rainbow City, AL 35906
Phone (256) 442-1834

Interoperability endpoints

  • Direct secure messaging: emilyemanuelsen@rfm-al.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1861382723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 INDEPENDENT DR STE A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063286",
            "telephone_number": "256-442-1834",
            "fax_number": "877-991-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 INDEPENDENT DR STE A",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063286",
            "telephone_number": "256-442-1834",
            "fax_number": "877-991-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUELSEN",
        "first_name": "EMILY",
        "middle_name": "GOODWIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "1-112301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.