Individual provider Active NPI

Catherine A Lavender, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1922107499
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24177 Issued in AL
Practice address
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone
(205) 348-6700
Fax
(205) 348-6112
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24177 AL Primary

Addresses

Primary practice location

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419

Mailing address

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone (205) 348-6700

Other identifiers 2

IdentifierTypeStateIssuer
00982215MedicaidAL
173727MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001258 AL Practitioner - Family Practice 6406818178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

289 Robert K Wilson Dr
Suite C
Carrollton, AL 35447-8032
Phone (205) 348-1770

809 University Blvd E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

850 5TH Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24177ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Apr 5, 2008 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Apr 5, 2008 Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122

700 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 348-7131

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Interoperability endpoints

  • Direct secure messaging: catherine.skinner.p1@direct.umc.nextgenshare.com
  • Direct secure messaging: catherine.lavender.p2@direct.umc.nextgenshare.com

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.

Hospital & facility affiliations 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922107499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-6700",
            "fax_number": "205-348-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-6700",
            "fax_number": "205-348-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00982215",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173727",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.