Individual provider Active NPI

Emily Komara

  • Primary Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1881084168
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-109634 Issued in AL
Practice address
4030 Pepperwood Cir SW
Huntsville, AL 35801-6499
Phone
(256) 539-6536
Fax
(256) 536-1504
NPI assigned
Jan 26, 2015
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1109634 AL
Primary Care Nurse Practitioner 363LP2300X 1-109634 AL Primary

Addresses

Primary practice location

4030 Pepperwood Cir SW
Huntsville, AL 35801-6499

Mailing address

4030 Pepperwood Cir SW
Huntsville, AL 35801-6499
Phone (256) 539-6536

Other practice location 1

12935 Highway 231 431 N
Hazel Green, AL 35750-8631
Phone (256) 828-6766

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
I20150409002095 AL Practitioner - Nurse Practitioner 7618295379 Reassigns benefits to 1 organization

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
Emergency Physicians GroupGroup PAC ID 5496669350, 47 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9889

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1109634ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Group CurrentSince Jan 1, 2023 Accepting new patients
Premier Allergist of Florida LLC Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Organizations & group practices 2

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 1

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1881084168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 PEPPERWOOD CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016499",
            "telephone_number": "256-539-6536",
            "fax_number": "256-536-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PEPPERWOOD CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016499",
            "telephone_number": "256-539-6536",
            "fax_number": "256-536-1504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12935 Highway 231 431 N",
            "address_purpose": "LOCATION",
            "city": "Hazel Green",
            "state": "AL",
            "postal_code": "357508631",
            "country_code": "US",
            "telephone_number": "256-828-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMARA",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1109634",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-109634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.