Individual provider Active NPI

Charlotte S Bishop, CRNP

  • Family Nurse Practitioner
  • Roanoke, AL
National Provider Identifier
1902956675
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-029929 Issued in AL
Practice address
469 Price St
Roanoke, AL 36274-2104
Phone
(334) 863-2311
Fax
(334) 863-5596
NPI assigned
Jan 12, 2007
Last updated
Jun 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-029929 AL Primary

Addresses

Primary practice location

469 Price St
Roanoke, AL 36274-2104

Mailing address

469 Price St
Roanoke, AL 36274-2104
Phone (334) 863-2311

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
I20040809001090 AL Practitioner - Nurse Practitioner 8729997911 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-029929ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services Inc CurrentSince May 27, 2014 Accepting new patients
Quality of Life Health Services, Inc CurrentSince May 27, 2014 Accepting new patients
Regional Health Management Corporation CurrentSince Jul 10, 2011 Accepting new patients
Regional Health Management Corporation CurrentSince Jul 10, 2011 Accepting new patients
Roanoke Healthcare Authority Past Accepting new patients
Tricounty Family Practice, PC Past Accepting new patients

Locations

901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

32 Medical Dr
Ste 7
Roanoke, AL 36274
Phone (334) 863-2311

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1902956675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 PRICE ST",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742104",
            "telephone_number": "334-863-2311",
            "fax_number": "334-863-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 PRICE ST",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362742104",
            "telephone_number": "334-863-2311",
            "fax_number": "334-863-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "CHARLOTTE",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-029929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, AL

Sources for this page

Verify at the official NPI Registry.