MRS. ABIGAIL LYNN BROCK (NPI# 1912339516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912339516 |
| Entity Type | Individual |
| Full Name | MRS. ABIGAIL LYNN BROCK |
| Other Name | MS. ABIGAIL LYNN BURGESS |
| Credential | CRNP |
| Practice Address |
401 Lowell Dr Se Ste 19 Huntsville AL 35801-3738 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2562659870 |
| Practice Fax Number | 2562659875 |
| Mailing Telephone | 2562659870 |
| Mailing Fax Number | 2562659875 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-101695 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 LOWELL DR SE STE 19 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346342953 | Patricia Ann Martin | Internal Medicine | 401 Lowell Dr Se Ste 19, Huntsville, AL 35801-3738 | 2006-09-03 |
| 1407021082 | Huntsville Hospital Internal Medicine | Internal Medicine | 401 Lowell Dr Se Ste 19, Huntsville, AL 35801-3738 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1881211647 | Ciara Whitt | Nurse Practitioner | 26 Maple Grove Blvd Sw, Huntsville, AL 35824-4005 | 2020-06-28 |
| 1275158289 | Lynda Jean Masco | Nurse Practitioner | 807 Tannahill Dr Se, Huntsville, AL 35802-1935 | 2020-06-15 |
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1497387229 | Mary Anne Tessitore | Nurse Practitioner | 193 Interstate 45 S, Huntsville, TX 77340-4256 | 2020-02-10 |
| 1790324424 | Ashley Froscello I | Nurse Practitioner | 610 Airport Rd Sw # 210, Huntsville, AL 35802-4304 | 2019-12-28 |
| 1811546237 | Jennifer Congdon | Nurse Practitioner | 264 Fm 3478, Huntsville, TX 77320 | 2019-09-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on MRS. ABIGAIL LYNN BROCK.
| 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.