Individual provider Active NPI

Felicia Benford Fletcher, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1972154516
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-091612 Issued in AL
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

Updated by the provider on Feb 20, 2020

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 1-091612 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1-091612ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Medical Clinic, LLC Family CurrentSince Feb 21, 2025 Accepting new patients

Locations

710 W Hobbs St
Athens, AL 35611
Phone (256) 262-6380

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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

Verify at the official NPI Registry.