Active NPI
Doctors Making Home Visits
- Point of Service
- Montgomery, AL
National Provider Identifier
1922485150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 305S00000X
- Legal business name
- DOCTORS MAKING HOME VISITS
- Practice address
- 5801 Eastdale Dr
Montgomery, AL 36117-2158 - Phone
- (334) 303-0657
- Fax
- (334) 356-9003
- NPI assigned
- Apr 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tisha Nickson
- Title
- Ceo
- Phone
- (334) 303-0657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 305S00000X | AL | Primary |
Addresses
Primary practice location
5801 Eastdale Dr
Montgomery, AL 36117-2158
Mailing address
8910 Crosswind Cir Apt 305
Montgomery, AL 36117-8066
Phone (334) 303-0657
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430092800000",
"number": "1922485150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 CROSSWIND CIR APT 305",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178066",
"telephone_number": "334-303-0657",
"fax_number": "334-356-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 EASTDALE DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361172158",
"telephone_number": "334-303-0657",
"fax_number": "334-356-9003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS MAKING HOME VISITS",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-27",
"last_updated": "2015-04-27",
"status": "A",
"authorized_official_last_name": "NICKSON",
"authorized_official_first_name": "TISHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "334-303-0657"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "AL",
"license": "305S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.