TRACI HIGGINBOTHAM (NPI# 1205375730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205375730 |
| Entity Type | Individual |
| Full Name | TRACI HIGGINBOTHAM |
| Credential | CRNP |
| Practice Address |
2100 Southbridge Pkwy Ste 650 Birmingham AL 35209-1302 |
| Mailing Address |
333 Commerce St Ste 700 Nashville TN 37201-1835 |
| Practice Telephone | 2055338902 |
| Practice Fax Number | 8557375542 |
| Mailing Telephone | 6156272293 |
| Mailing Fax Number | 8884942588 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-131304 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 809 University Blvd E, Tuscaloosa, AL 354012029 | 2057596903 | 2053334660 |
| Street Address |
2100 SOUTHBRIDGE PKWY STE 650 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720096183 | Carol James | Nurse Practitioner | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2006-08-03 |
| 1831710508 | Inspire Counseling and Consulting LLC | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2020-05-04 |
| 1093354441 | Tamika Lashone Carter-alexander | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2020-01-02 |
| 1942766282 | Stephanie Lett | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2019-02-12 |
| 1730644204 | L.o.l. Counseling and Consulting Services | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2019-02-08 |
| 1114404845 | Hal Medical O&p | Durable Medical Equipment & Medical Supplies | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2018-07-25 |
| 1417465071 | Thermal Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2018-01-17 |
| 1801319892 | Thandi Kenyetta Wells | Counselor | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2017-07-20 |
| 1588184782 | Emily A Lacey | Nurse Practitioner | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2017-06-20 |
| 1508391632 | Without Walls Counseling, PC | Counselor | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2017-04-26 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
| 1124489588 | Kristen Cravens | Nurse Practitioner | 1201 11th Ave South, Uab Highlands Hospital, Birmingham, AL 35205-3422 | 2016-03-14 |
| 1275132185 | Quintela Clopton | Nurse Practitioner | 216 Aquarius Dr Ste 306, Birmingham, AL 35209-5863 | 2020-10-21 |
| 1831718394 | Lauren M. Walley | Nurse Practitioner | 1 Perimeter Park S Ste 100n, Birmingham, AL 35243-3248 | 2020-04-14 |
| 1952952400 | Arthur M. Estoque | Nurse Practitioner | 1 Perimeter Park S Ste 100n, Birmingham, AL 35243-3248 | 2019-09-26 |
| 1932760105 | Esther Patterson Lange | Nurse Practitioner | 504 Brookwood Blvd, Birmingham, AL 35209-6802 | 2019-06-27 |
| 1831667997 | Lindsey M Gaither | Nurse Practitioner | 1 Independence Plz Ste 900, Birmingham, AL 35209-2643 | 2018-11-07 |
| 1467927848 | Jacob Ray | Nurse Practitioner | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2018-10-11 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on TRACI HIGGINBOTHAM.
| 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.