Individual provider Active NPI

Vallaree Gail Prentice, NP

  • Family Nurse Practitioner
  • Gurley, AL
National Provider Identifier
1932299393
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-051281 Issued in AL
Practice address
5995 B Hwy 72 E
Gurley, AL 35748-0127
Phone
(256) 776-2094
Fax
(256) 776-0047
NPI assigned
Oct 13, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-051281 AL Primary

Addresses

Primary practice location

5995 B Hwy 72 E
Gurley, AL 35748-0127

Mailing address

PO Box 127
5995 B Hwy 72 E
Gurley, AL 35748-0127
Phone (256) 776-2094

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000207 AL Practitioner - Nurse Practitioner 7911005558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-051281ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physician Care CurrentSince Nov 1, 2020 Accepting new patients
The Healthcare Authority of the City of Huntsville Current Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

401 Lowell Dr SE
Ste 19
Huntsville, AL 35801
Phone (256) 265-9870

700 Airport Rd SW
Ste F
Huntsville, AL 35802
Phone (256) 265-0770

450 Lanier Rd
Madison, AL 35758
Phone (256) 774-4500

8371 Highway 72 W
Ste 104
Madison, AL 35758
Phone (256) 265-5640

8371 Highway 72 W
Ste 106
Madison, AL 35758
Phone (256) 726-6970

262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1932299393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "5995 B HWY 72 E",
            "city": "GURLEY",
            "state": "AL",
            "postal_code": "357480127",
            "telephone_number": "256-776-2094",
            "fax_number": "256-776-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 B HWY 72 E",
            "city": "GURLEY",
            "state": "AL",
            "postal_code": "357480127",
            "telephone_number": "256-776-2094",
            "fax_number": "256-776-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "VALLAREE",
        "middle_name": "GAIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-051281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurley, AL

Sources for this page

Verify at the official NPI Registry.