Individual provider Active NPI

Stephanie Embry, CRNP

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1891551016
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-133877 Issued in AL
Practice address
15232 Greenfield Dr
Athens, AL 35613-2897
Phone
(256) 233-1650
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 35735 TN
Family Nurse Practitioner 363LF0000X 1-133877 AL Primary

Addresses

Primary practice location

15232 Greenfield Dr
Athens, AL 35613-2897

Mailing address

15232 Greenfield Dr
Athens, AL 35613-2897
Phone (256) 233-1650

Other practice location 1

9238 Madison Blvd Ste 117
Madison, AL 35758-9112
Phone (256) 772-7148

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
I20240906003501 AL Practitioner - Nurse Practitioner 9335587583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Ear Nose and Throat Associates PCGroup PAC ID 0345226825, 6 clinicians

Practice addresses (Care Compare)

15232 Greenfield Dr
Athens, AL 35613-2897
Phone (256) 233-1650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 25, 2024 Accepting new patients
Valley Ear Nose and Throat Associates PC CurrentSince Apr 10, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

15232 Greenfield Dr
Athens, AL 35613
Phone (256) 233-1650

9238 Madison Blvd
Ste 117
Madison, AL 35758
Phone (256) 772-7148

6550 Carothers Pkwy
Ste 225
Franklin, TN 37067

1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555

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, 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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1891551016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15232 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132897",
            "telephone_number": "256-233-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15232 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132897",
            "telephone_number": "256-233-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9238 Madison Blvd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589112",
            "country_code": "US",
            "telephone_number": "256-772-7148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35735",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.