MS. STEPHANIE AMANDA HALL (NPI# 1225109432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225109432 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE AMANDA HALL |
| Other Name | MRS. STEPHANIE HALL BROADFOOT |
| Credential | CRNP MSN |
| Practice Address |
817 Princeton Avenue Sw Suite 210 Birmingham AL 35211-1348 |
| Mailing Address |
Po Box 39688 Birmingham AL 35208-0017 |
| Practice Telephone | 2052265911 |
| Practice Fax Number | 2052265939 |
| Mailing Telephone | 2052265911 |
| Mailing Fax Number | 2052265939 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2012-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
56743 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51077064 | 01 |
| AL | ALABAMA RN LICENSE | 56743 | 01 |
| AL | 00077064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427570720 | Stephanie Hall | Social Worker | 101 E 31st St Apt B, Durango, CO 81301-4211 | 2017-07-09 |
| 1457789679 | Stephanie Leigh Hall | Veterinarian | 741 Monroe Dr Ne, Atlanta, GA 30308-1701 | 2013-10-25 |
| 1083980726 | Stephanie Rene Hall | Social Worker | 77 Grant St, Hartford, CT 06106-4108 | 2012-03-27 |
| 1457591497 | Stephanie Nicole Hall | Occupational Therapist | 2427 Medway Dr, Raleigh, NC 27608-1612 | 2009-03-04 |
| 1477728707 | Stephanie Hall | Social Worker | 10120 Two Notch Rd, Suite 2, Pmb 183, Columbia, SC 29223-4395 | 2008-04-28 |
| 1689875247 | Stephanie L. Hall | Emergency Medicine | 1200 N State St Rm 1112, Los Angeles, CA 90033-1029 | 2007-05-30 |
| 1023167145 | Stephanie R. L. Hall | Speech-Language Pathologist | 105 S Blair St, Springdale, AR 72764-4410 | 2007-01-09 |
| 1215099841 | Stephanie Hall | Speech-Language Pathologist | 78 Sellars Rd, Hahira, GA 31632-5412 | 2006-12-13 |
| 1477176642 | Stephanie Leah Hall | Registered Nurse | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-05-22 |
| 1053960633 | Stephanie Giselle Hall | Social Worker | 1526 Walden Ave, Cheektowaga, NY 14225-4965 | 2019-09-06 |
| Street Address |
817 PRINCETON AVENUE SW SUITE 210 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434498 | Robert Scott Mccord | Surgery | 817 Princeton Avenue Sw, Suite 306, Birmingham, AL 35211 | 2005-11-16 |
| 1982756599 | Theodore Stevens Feely | Internal Medicine | 817 Princeton Avenue Sw, Professional Office Bldg II, Suite 206, Birmingham, AL 35211 | 2007-01-17 |
| 1750333506 | Donald L Quinn | Internal Medicine | 817 Princeton Avenue Sw, Pob 2 Ste 206 Napc - Sharon Harris -, Birmingham, AL 35211-1348 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| 1851802508 | Lisa Burke Ritchie | Nurse Practitioner | 1826 6th Avenue South, Birmingham, AL 35294-3328 | 2017-10-21 |
| 1306364526 | Kelly Karell Wright | Nurse Practitioner | 1813 6th Ave S., Uab Hospital, Russell Wing, M240, Birmingham, AL 35924 | 2017-09-08 |
| 1952821944 | Julie Southerland Allen | Nurse Practitioner | 933 19th St S Ste 445, Birmingham, AL 35205-3703 | 2017-06-21 |
| 1457890410 | Ellen Pantazis | Nurse Practitioner | 1250 Inverness Corners, Birmingham, AL 35242-3794 | 2017-02-22 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| 1932561800 | D'angelo Jones | Nurse Practitioner | 1813 6th Ave S Ste 101, Birmingham, AL 35249-6508 | 2016-03-22 |
| 1124499876 | Courtney Estes | Nurse Practitioner | Wti 260a, 1720 2nd Avenue South, Birmingham, AL 35294-3300 | 2015-10-07 |
| 1154724672 | Cori Cunningham | Nurse Practitioner | 1720 2nd Ave S # Bdb503, Birmingham, AL 35294-0004 | 2014-09-29 |
| 1740683218 | Jamie Hiebert | Nurse Practitioner | 1719 6th Avenue South Circ 312, Birmingham, AL 35294-0001 | 2014-09-29 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on MS. STEPHANIE AMANDA HALL.
| 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.