Active NPI
Felicia Benford Fletcher, CRNP
- Family Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1972154516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-091612
- Practice address
- Nasa Marshall Space Flight Center
As10 Building 4249
Huntsville, AL 35812-3581 - Phone
- (256) 544-5731
- Fax
- (256) 544-5743
- NPI assigned
- Sep 25, 2019
- 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 | 1-091612 | AL | Primary |
Addresses
Primary practice location
Nasa Marshall Space Flight Center
As10 Building 4249
Huntsville, AL 35812-3581
Mailing address
Nasa Marshall Space Flight Center
As10 Building 4249
Huntsville, AL 35812
Phone (256) 544-5731
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191122002038 | AL | Practitioner - Nurse Practitioner | 7911339353 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-091612 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Medical Clinic, LLC | Family | Current | Accepting new patients |
Locations
710 W Hobbs St
Athens, AL 35611
Phone (256) 262-6380
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- felicia.fletcher.1@23004.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1972154516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NASA MARSHALL SPACE FLIGHT CENTER",
"address_2": "AS10 BUILDING 4249",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35812",
"telephone_number": "256-544-5731",
"fax_number": "256-544-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NASA MARSHALL SPACE FLIGHT CENTER",
"address_2": "AS10 BUILDING 4249",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358123581",
"telephone_number": "256-544-5731",
"fax_number": "256-544-5743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "FELICIA",
"middle_name": "BENFORD",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-091612",
"primary": true
}
],
"identifiers": [],
"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 20, 2020; 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.