Emily Depew
Individual provider Active NPI Family Nurse Practitioner · Moody, AL
NPI 1982242707 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1982242707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-157814 (AL)
- Practice address
- 2211 Moody Pkwy
Moody, AL 35004-3014 - Phone
- (205) 352-2480
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Alabama Health Services Foundation, PC
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200203002069 | AL | Practitioner - Nurse Practitioner | 7113353517 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-157814 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
2145 Bonner Way
Birmingham, AL 35243
Phone (205) 978-0250
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480
300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260
Interoperability endpoints
- eldepew@direct.uabmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-157814 | AL | Yes |
Addresses
Primary practice location
2211 Moody Pkwy
Moody, AL 35004-3014
Mailing address
1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 644-8256
Other providers in Moody, AL
- Janet Alecia Cruzado
- Curtis M Eddy Inc
- Kasey S Davis
- Emily Lindsey Dawson
- Dental Office of Moody Inc
- Mathew Akache Dimassi
- Ebony Dixon
- Joy D Donaldson
- Renae M Dorroh
- Dpi of Alabama LLC
All providers in Moody, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.