ROSCHANDA PULLOM WATKINS (NPI# 1992368054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992368054 |
| Entity Type | Individual |
| Full Name | ROSCHANDA PULLOM WATKINS |
| Credential | FNP |
| Practice Address |
3800 Ridgeway Dr Birmingham AL 35209-5506 |
| Mailing Address |
232 Stonecreek Way Helena AL 35080-8001 |
| Practice Telephone | 2058682007 |
| Mailing Telephone | 2055411340 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-095996 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3800 RIDGEWAY DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812140 | Mark L. Vaporean | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2005-06-23 |
| 1558987990 | Menthola Smith | Nurse Practitioner | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2020-06-22 |
| 1447817564 | Richardson Rehabilitation Services, PC | Physical Medicine & Rehabilitation | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2019-05-23 |
| 1528552734 | Edge Medical Consulting LLC | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2018-06-20 |
| 1962926337 | Alexandra Salch | Physical Therapist | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2017-07-27 |
| 1033647045 | Ab Physiatry, LLC | Physical Medicine & Rehabilitation | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2017-06-03 |
| 1770025900 | Rannau Health Services, LLC. | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2016-11-04 |
| 1164872073 | Jennifer-nicole Lee Wood | Occupational Therapist | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2016-06-21 |
| 1669822722 | Cunningham Rehab, LLC | Physical Medicine & Rehabilitation | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2016-06-20 |
| 1073987962 | Donna Peck | Nurse Practitioner | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
| 1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
| 1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
| 1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
| 1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on ROSCHANDA PULLOM WATKINS.
| 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.