Active NPI
Stephanie Paige Drieling, CRNP
- Pediatric Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1902150873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-085536
- Practice address
- 910 Adams St SE
Suite 220
Huntsville, AL 35801-3730 - Phone
- (256) 265-1800
- Fax
- (256) 265-1801
- NPI assigned
- Oct 31, 2012
- Last updated
- Aug 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-085536 | AL | Primary |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 1-085536 | AL |
Addresses
Primary practice location
910 Adams St SE
Suite 220
Huntsville, AL 35801-3730
Mailing address
930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 801-6015
Other names 1
- Stephanie Paige Goodin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-085536 | AL | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Valley Pediatric Surgery | Past | Accepting new patients | |
| Tennessee Valley Pediatric Surgery | Past | Accepting new patients | |
| Steadman McPeters | Past | Accepting new patients | |
| HH Physicians Network | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Huntsville, AL
- NPI 1891359683
-
- Clinic/Center
- Huntsville, AL
- NPI 1740593284
-
- Children's Hospital
- Huntsville, AL
- NPI 1225140486
-
- Pediatric Surgery Physician
- Huntsville, AL
- NPI 1689790628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1902150873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014312",
"telephone_number": "256-801-6015",
"fax_number": "256-801-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 ADAMS ST SE",
"address_2": "SUITE 220",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013730",
"telephone_number": "256-265-1800",
"fax_number": "256-265-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIELING",
"first_name": "STEPHANIE",
"middle_name": "PAIGE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-085536",
"primary": true
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "AL",
"license": "1-085536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "GOODIN",
"middle_name": "PAIGE",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.