DONNA PECK (NPI# 1073987962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073987962 |
| Entity Type | Individual |
| Full Name | DONNA PECK |
| Credential | CRNP |
| Practice Address |
3800 Ridgeway Dr Birmingham AL 35209-5506 |
| Mailing Address |
Po Box 59424 Birmingham AL 35259-9424 |
| Practice Telephone | 2058682000 |
| Mailing Telephone | 2564046832 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-106015 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634609 | Donna J Peck | Nurse Practitioner | 2405 W 60th Dr, Merrillville, IN 46410-2143 | 2020-03-13 |
| 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 |
| 1992368054 | Roschanda Pullom Watkins | Nurse Practitioner | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2019-04-15 |
| 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 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 1619436490 | Amy Gamble Cole | Nurse Practitioner | 601 S 19th St, Birmingham, AL 35294-0001 | 2019-03-19 |
| 1609347574 | Jordan Tyler Chambers | Nurse Practitioner | 619 19th St S # Ohb251, Birmingham, AL 35249-1932 | 2018-12-17 |
| 1962972968 | Jonathan Mccrary | Nurse Practitioner | 100 Pilot Medical Dr Ste 250, Birmingham, AL 35235-3448 | 2018-12-03 |
| 1164935110 | Christion Danielle Green | Nurse Practitioner | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2017-11-13 |
| 1255843900 | Robert Richardson | Nurse Practitioner | 1802 6th Ave South, Np 5240 5th Floor North Pavillion, Birmingham, AL 35233 | 2017-11-02 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on DONNA PECK.
| 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.