Individual provider Active NPI

Vicki Senn, CRNP

  • Nurse Practitioner
  • Opp, AL
National Provider Identifier
1881007086
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1066454 Issued in AL
Practice address
1800 US Highway 84 W
Opp, AL 36467-3520
Phone
(334) 493-4357
Fax
(334) 222-3825
NPI assigned
Jun 4, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-066454 AL
Nurse Practitioner 363L00000X 1066454 AL Primary

Addresses

Primary practice location

1800 US Highway 84 W
Opp, AL 36467-3520

Mailing address

1800 US Highway 84 W
Opp, AL 36467-3520
Phone (334) 493-4357

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
I20150918001931 AL Practitioner - Nurse Practitioner 7214244516 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mizell Memorial Hospital, Inc.Group PAC ID 6507820990, 12 clinicians

Practice addresses (Care Compare)

702 N Main St
Suite 2
Opp, AL 36467-1626
Phone 33449335411131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1066454ALMDNurse Practitioner
1-066454ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mizell Memorial Hospital, Inc. Current Accepting new patients
Mizell Memorial Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
By His Grace Primary Care, LLC CurrentSince May 15, 2023 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Apr 15, 2015 Accepting new patients
American Family Care, LLC CurrentSince Oct 31, 2022 Accepting new patients
Enterprise Urgent Care CurrentSince Dec 12, 2016 Accepting new patients
Andalusia Physician Practices LLC CurrentSince Sep 1, 2015 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
American Family Care, LLC CurrentSince Oct 31, 2022 Accepting new patients
Mizell Memorial Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Andalusia Physician Practices LLC Nurse Practitioner CurrentSince Sep 1, 2015 Accepting new patients
Ivycreek of Elmore LLC PastSince Jul 2, 2021 Accepting new patients

Locations

301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

635 N Main St
Ste 3
Enterprise, AL 36330

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

806 Glover Ave
#A
Enterprise, AL 36330
Phone (334) 347-4800

101 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 382-0734

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

4305 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 271-7051

702 N Main St
Opp, AL 36467
Phone (334) 493-2342

702 N Main St
Ste 2
Opp, AL 36467
Phone 33449335411131

Interoperability endpoints

  • Direct secure messaging: vicki.senn.1@22680.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1881007086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 US HIGHWAY 84 W",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-493-4357",
            "fax_number": "334-222-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 US HIGHWAY 84 W",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-493-4357",
            "fax_number": "334-222-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENN",
        "first_name": "VICKI",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-066454",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1066454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

Verify at the official NPI Registry.