AUDRY GORMAN (NPI# 1902828155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902828155 |
| Entity Type | Individual |
| Full Name | AUDRY GORMAN |
| Credential | CRNP |
| Practice Address |
1515 6th Ave S Fl 7 Birmingham AL 35233 |
| Mailing Address |
6718 Ridgecrest Cir Mc Calla AL 35111-3960 |
| Practice Telephone | 2054753908 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60669163 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-054669 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 E Hawthorne Ave, Colville, WA 991142629 | 2054753908 | |
| 6718 Ridgecrest Cir, Mc Calla, AL 351113960 | 2054753908 |
| Street Address |
1515 6TH AVE S FL 7 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469620 | Allison Dean | Nurse Practitioner | 1515 6th Ave S Fl 7, Birmingham, AL 35233-1601 | 2018-12-19 |
| 1578064614 | Alabama Regional Medical Services | Family Medicine | 1515 6th Ave S Fl 7, Birmingham, AL 35233-1601 | 2018-02-23 |
| 1497115240 | Nicole Adele Leshoure | Nurse Practitioner | 1515 6th Ave S Fl 7, Birmingham, AL 35233-1601 | 2016-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1851803233 | Blair Danielle Hedges | Nurse Practitioner | Sparks Center - 1720 7th Avenue South, Birmingham, AL 35294-0001 | 2017-10-25 |
| 1447798558 | Kiara Denise Gildersleeve | Nurse Practitioner | 1230 3rd Ave S, Birmingham, AL 35233-1311 | 2017-02-09 |
| 1437601085 | Marcus Otavio Guimaraes Debiasi | Nurse Practitioner | 1714 9th Ave S Ste 300, Birmingham, AL 35205-3606 | 2016-10-31 |
| 1710226576 | Karmie M. Johnson | Nurse Practitioner | 4022 4th Ave S, Birmingham, AL 35222-1923 | 2013-02-13 |
| 1205132958 | Veronica Ann Brown | Nurse Practitioner | 1400 Memorial Cir, Birmingham, AL 35214-0912 | 2011-01-27 |
| 1023654969 | Aimee Leigh Morrison | Nurse Practitioner | 615 18th St S, Birmingham, AL 35233-1826 | 2019-11-26 |
| 1821632829 | Mariah Mccrear | Nurse Practitioner | 700 19th St S, Birmingham, AL 35233-1927 | 2019-11-01 |
| 1760026173 | Scarlet Goss Patterson | Nurse Practitioner | 700 19th St S, Birmingham, AL 35233-1927 | 2019-10-30 |
| 1750923447 | Leah Brooks Larussa | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
Please comment or provide details below to improve the information on AUDRY GORMAN.
| 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.