Organization Active NPI

Neonatal Nurse Practitioner Services of Ga., LLC

  • Critical Care Neonatal Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1922632744
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
Legal business name
NEONATAL NURSE PRACTITIONER SERVICES OF GA., LLC
Practice address
1608 Great Pine Rd
Birmingham, AL 35235-2819
Phone
(205) 913-6224
Fax
(205) 854-5284
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Deborah Driskill
Title
CRNP
Phone
(205) 913-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X NU Primary

Addresses

Primary practice location

1608 Great Pine Rd
Birmingham, AL 35235-2819

Mailing address

1608 Great Pine Rd
Birmingham, AL 35235-2819
Phone (205) 913-6224

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ddrisk1027@aol.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1922632744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 GREAT PINE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352819",
            "telephone_number": "205-913-6224",
            "fax_number": "205-854-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 GREAT PINE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352819",
            "telephone_number": "205-913-6224",
            "fax_number": "205-854-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATAL NURSE PRACTITIONER SERVICES OF GA., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "205-913-6224"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ddrisk1027@aol.com",
            "affiliation": "N",
            "address_1": "1608 Great Pine Rd",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352352819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.