Individual provider Active NPI

Megan Vann, CRNP

  • Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1891339685
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-169014 Issued in AL
Practice address
910 Adams St SE Ste 910
Huntsville, AL 35801-3730
Phone
(256) 265-5833
Fax
(256) 265-5834
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-169014 AL
Pediatric Nurse Practitioner 363LP0200X 290649 GA
Nurse Practitioner 363L00000X 1-169014 AL Primary

Addresses

Primary practice location

910 Adams St SE Ste 910
Huntsville, AL 35801-3730

Mailing address

5047 Montauk TRL SE
Owens Cross Roads, AL 35763-8795
Phone (870) 476-3310

Other practice location 1

140 Three Rivers Dr NE
Rome, GA 30161-4999
Phone (706) 232-1300

Other practice location 2

101 Westover Cir Ste 2
Madison, AL 35758-4909
Phone (256) 461-0209

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
I20250304002094 AL Practitioner - Nurse Practitioner 6800317082 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290649GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Children'S Research Hospital, Inc. Pediatrics CurrentSince Dec 30, 2024 Accepting new patients
Dr. Miniyars Pediatrics, P.C. PastSince Nov 1, 2019 Accepting new patients
HH Physicians Network Past Accepting new patients

Locations

910 Adams St SE
Ste 310
Huntsville, AL 35801
Phone (256) 265-1822

262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 495-3006

Organizations & group practices 3

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1891339685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 MONTAUK TRL SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638795",
            "telephone_number": "870-476-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 910",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-265-5833",
            "fax_number": "256-265-5834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Three Rivers Dr NE",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301614999",
            "country_code": "US",
            "telephone_number": "706-232-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Westover Cir Ste 2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357584909",
            "country_code": "US",
            "telephone_number": "256-461-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "MEGAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-169014",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "290649",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-169014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.