Individual provider Active NPI

Stephanie T Williams, CRNP

  • Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1992079800
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-120329 Issued in AL
Practice address
1800 Al Highway 157
Cullman, AL 35058-1271
Phone
(256) 736-1615
NPI assigned
Feb 24, 2012
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-120329 AL Primary

Addresses

Primary practice location

1800 Al Highway 157
Cullman, AL 35058-1271

Mailing address

1800 Al Highway 157
Cullman, AL 35058-1271
Phone (256) 736-1615

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
I20120607000282 AL Practitioner - Nurse Practitioner 7113181942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
After Hours Clinic IncGroup PAC ID 4880635945, 8 clinicians

Practice addresses (Care Compare)

1800 Birmingham Ave
Jasper, AL 35501-5461
Phone (205) 384-4585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-120329ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Clinic Inc CurrentSince Mar 10, 2017 Accepting new patients
After Hours Clinic Inc Sumiton CurrentSince Mar 10, 2017 Accepting new patients
Crestwood Physician Services, LLC PastSince Oct 1, 2011 Accepting new patients

Locations

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1992079800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581271",
            "telephone_number": "256-736-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581271",
            "telephone_number": "256-736-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-120329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.