NPIMap

Organization Active NPI

Medcare Clinic LLC

  • Acute Care Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1912220476
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-084184 Issued in AL
Legal business name
MEDCARE CLINIC LLC
Practice address
2060 Cherokee Rd
Alexander City, AL 35010-3439
Phone
(256) 267-0870
NPI assigned
Mar 11, 2010
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mrs. Suzzan G. Nelson, CRNP
Title
Owner
Phone
(256) 267-0870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1-084184 AL
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 1-084184 AL Primary

Addresses

Primary practice location

2060 Cherokee Rd
Alexander City, AL 35010-3439

Mailing address

5519 Highway 22 E
Alexander City, AL 35010-7035
Phone (256) 267-0870

National Provider Directory

National Provider Directory

Locations

735 NW 22nd Ave
Unit A
Miami, FL 33125
Phone (305) 642-1622

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1912220476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 HIGHWAY 22 E",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350107035",
            "telephone_number": "256-267-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHEROKEE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103439",
            "telephone_number": "256-267-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SUZZAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-267-0870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "1-084184",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-084184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.