Individual provider Active NPI

Anna Brooke Box, CRNP

  • Acute Care Nurse Practitioner
  • Tuscumbia, AL
National Provider Identifier
1881066264
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1102190 Issued in AL
Practice address
1404 E Avalon Ave
Tuscumbia, AL 35674-1773
Phone
(256) 981-5507
Fax
(256) 381-3760
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1102190 AL Primary

Addresses

Primary practice location

1404 E Avalon Ave
Tuscumbia, AL 35674-1773

Mailing address

PO Box 2587
Muscle Shoals, AL 35662-2587
Phone (256) 381-5507

Other identifiers 1

IdentifierTypeStateIssuer
1326373861OtherALSHOALS PRIMARY CARE, LLC

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
I20160401000884 AL Practitioner - Nurse Practitioner 0345547576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoals Primary Care, LLCGroup PAC ID 1557406246, 41 clinicians

Practice addresses (Care Compare)

1404 E Avalon Ave
Tuscumbia, AL 35674-1773
Phone (256) 381-5507

340 Cox Blvd
Sheffield, AL 35660-4020
Phone 25638344732080

342 Cox Blvd
Sheffield, AL 35660-4020

342 Cox Boulevard
Sheffield, AL 35660-4000
Phone (256) 383-4473

426 Cox Blvd
Sheffield, AL 35660-4000
Phone (256) 389-1990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1102190ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC CurrentSince Feb 16, 2016 Accepting new patients

Locations

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

1404 E Avalon Ave
Ste B
Tuscumbia, AL 35674
Phone (256) 383-4473

1404 E Avalon Ave
Tuscumbia, AL 35674
Phone (256) 381-5507

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 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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1881066264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622587",
            "telephone_number": "256-381-5507",
            "fax_number": "256-275-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-981-5507",
            "fax_number": "256-381-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "ANNA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1102190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHOALS PRIMARY CARE, LLC",
            "identifier": "1326373861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.