Active NPI
Joan V. Patterson, CRNP
- Family Nurse Practitioner
- Talladega, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1032081
- Practice address
- 803 North St E
Talladega, AL 35160 - Phone
- (256) 315-2252
- Fax
- (256) 362-1664
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1032081 | AL | Primary |
Addresses
Primary practice location
803 North St E
Talladega, AL 35160
Mailing address
803 North St E
Talladega, AL 35160-2529
Phone (256) 315-2252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000077083 | Medicaid | AL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032081 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
119 Stephen J White Memorial Blvd
Talladega, AL 35160
Phone (256) 268-7775
320 Coosa St E
Talladega, AL 35160
Phone (205) 362-3636
803 North St E
Talladega, AL 35160
Phone (256) 315-2252
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.
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1952401887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 NORTH ST E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602529",
"telephone_number": "256-315-2252",
"fax_number": "256-362-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 NORTH ST E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "35160",
"telephone_number": "256-315-2252",
"fax_number": "256-362-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JOAN",
"middle_name": "V.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1032081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000077083",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Talladega, AL
- Orthosports Associates, LLC (OrthoSports Associates, LLC - Talladega)
- Gabriel Paige
- Divya J Patel, PHARM.D.
- Hemal S Patel, PHARMD
- Rena Ishvarlal Patel, O.D.
- Peter Dsa, MD, PC
- Pharmbest Drugs Inc (buy wise discount pharmacy)
- Horace Byron Phillips, M.D.
- Physicians Choice Dialysis of Calhoun County LLC (Physicians Choice Dialysis of Talladega)
- Physiotherapy Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.