Organization Active NPI

Endocrinology and Diabetes Associates, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Huntsville, AL
National Provider Identifier
1932291747
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Practice address
201 Sivley Rd SW
Suite 450
Huntsville, AL 35801-5134
Phone
(256) 551-4505
Fax
(256) 551-4474
NPI assigned
Sep 29, 2006
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Mrs. Kim Chamberlain
Title
Office Manager
Phone
(256) 551-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

201 Sivley Rd SW
Suite 450
Huntsville, AL 35801-5134

Mailing address

201 Sivley Rd SW
Suite 450
Huntsville, AL 35801-5134
Phone (256) 551-4505

Other identifiers 1

IdentifierTypeStateIssuer
529803210MedicaidAL

National Provider Directory

National Provider Directory

Locations

201 Sivley Rd SW
Ste 450
Huntsville, AL 35801
Phone (256) 551-4505

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1932291747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 450",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-551-4505",
            "fax_number": "256-551-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 450",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-551-4505",
            "fax_number": "256-551-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-551-4505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529803210",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.