NPIMap

Organization Active NPI

St Vincents Ambulatory Healthcare Network LLC

  • Registered Dietitian
  • Birmingham, AL
National Provider Identifier
1982121513
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ST VINCENTS AMBULATORY HEALTHCARE NETWORK LLC
Practice address
7191 Cahaba Valley Rd Ste 107
Birmingham, AL 35242-6443
Phone
(205) 408-6600
NPI assigned
Aug 24, 2017
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Kyle Hupach
Title
VP Revenue Cycle
Phone
(205) 731-9287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

7191 Cahaba Valley Rd Ste 107
Birmingham, AL 35242-6443

Mailing address

50 Medical Park Dr E BLDG 46
Birmingham, AL 35235-3401

Other names 1

  • St. Vincent's One Nineteen Wellness/Dietary Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180628002418 AL Part B Supplier - Clinic/Group Practice 1355608456 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hoover, AL
O20201210003076 AL MDPP Supplier - in-Person MDPP Supplier 1355608456 Practice locations: Hoover, AL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Vincent's One Nineteen Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1982121513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E BLDG 46",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD STE 107",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426443",
            "telephone_number": "205-408-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENTS AMBULATORY HEALTHCARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "HUPACH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "205-731-9287"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent's One Nineteen Wellness/Dietary Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Vincent's One Nineteen Wellness/Dietary Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.