SOUTHERN NEONATAL NURSE PRACTITIONERS, LLC (NPI# 1144796673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144796673 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEONATAL NURSE PRACTITIONERS, LLC |
| Practice Address |
995 9th Ave Sw Bessemer AL 35022-4527 |
| Mailing Address |
8524 Hayes Rd Bessemer AL 35022-7926 |
| Practice Telephone | 2055312755 |
| Practice Fax Number | 2055657939 |
| Mailing Telephone | 2055312755 |
| Mailing Fax Number | 2055657939 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | CYNTHIA GALLOWAY (VICE PRESIDENT/CRNP) |
| Authorized Official Telephone | 2055312755 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 111EP1111X | 05 | |
| AL | 363L00000X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 1st St N, Alabaster, AL 350078703 | 2055312755 | 2055657939 |
| Street Address |
995 9TH AVE SW |
| City | BESSEMER |
| State | AL |
| Zip Code | 35022-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116971 | Steven Craig Smith | Hospitalist | 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 | 2005-12-23 |
| 1265049431 | Hunter Graveman | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-09-30 |
| 1932727153 | Sydney Cordell Smith | Dietitian, Registered | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-07-14 |
| 1083249890 | Kayla Nanice Williams | Nurse Practitioner | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-03-12 |
| 1982237673 | Molly Reeves | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-02-20 |
| 1295375186 | Kimberly Ann Phillips | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2020-01-09 |
| 1609333947 | Cassidy Machnica Dickson | Physician Assistant | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2019-02-22 |
| 1457817447 | Zachary Hunter Lane White | Registered Nurse | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2019-02-14 |
| 1053875278 | West Jefferson Radiology, LLC | Radiology | 995 9th Ave Sw, Bessemer, AL 35022 | 2019-01-23 |
| 1598230393 | Lacie Butler | Occupational Therapist | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962905034 | Bass Assertive Solutions & Support, LLC | Social Worker | 439 Sunbelt Drive, Bessemer, AL 35022 | 2018-03-14 |
| 1326565383 | Shani Amal Wilson | Nurse Practitioner | 4971 South Shades Crest Road, Helena, AL 35022 | 2017-08-29 |
| 1881031367 | Jason Lee Clemons | Family Medicine | 2910 Morgan Rd Ste 100, Bessemer, AL 35022 | 2013-05-24 |
| 1700123445 | West Alabama Therapy | Contractor | 3985 Park Wood Road, Suite 109 #148, Bessemer, AL 35022 | 2013-01-15 |
| 1922363662 | Casey Hicks | Family Medicine | 1088 9th Ave St, Bessemer, AL 35022 | 2012-07-09 |
| 1528353992 | Andrew Posey | Family Medicine | 1088 9th Ave Sw Ste 106, Bessemer, AL 35022 | 2011-06-14 |
| 1386808517 | Caron Givhan Griffin | Social Worker | 975 9th Ave. S.w., Suite 400, Bessemer, AL 35022 | 2008-07-16 |
| 1366612046 | Leigh Ann Lawrence Clanton | Nurse Practitioner | 6285 Park South Drive, Bessemer, AL 35022 | 2008-03-10 |
| 1407061906 | Anne K Penhale | Audiologist | 985 Ninth Avenue S W, Suite 308, Bessemer, AL 35022 | 2007-05-10 |
| 1033270210 | Teresa Newsome Bondurant | Psychologist | 985 9th Ave Southwest, Suite 201 Pob, Bessemer, AL 35022 | 2006-12-12 |
| Find all providers in zip 35022 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336548247 | Janet Elizabeth Skinner | Nurse Practitioner | 1601 5th Avenue South, Nicu-6th Floor, Birmingham, AL 35233 | 2014-08-15 |
| 1386066389 | Robin D Martin | Nurse Practitioner | 1460 Shades Crest Rd, Hoover, AL 35226-3120 | 2014-01-09 |
| 1265790620 | Barbara Brutkiewicz | Nurse Practitioner | 316 Long Ct, Mobile, AL 36608-2497 | 2012-04-24 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| 1891931192 | Sherry Morris Stough | Nurse Practitioner | 1608 Great Pine Rd, Birmingham, AL 35235-2819 | 2008-12-17 |
| 1154952547 | Lauren D Morgan | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-02-04 |
| 1962049569 | Teresa Ann Champion | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-12-03 |
| 1841849080 | Stephanie L Johnson | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-09-10 |
| 1730641101 | Kerri Hamilton Jones | Nurse Practitioner | 400 Taylor Rd, Montgomery, AL 36117-3511 | 2019-04-03 |
| 1356811707 | Tommi Webb | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2018-11-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.