HUNTSVILLE HOSPITAL SPINE AND NEURO CENTER (NPI# 1407210925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407210925 |
| Entity Type | Organization |
| Organization Name | HUNTSVILLE HOSPITAL SPINE AND NEURO CENTER |
| Practice Address |
201 Governors Dr Sw 1st Floor Huntsville AL 35801-5170 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2565331600 |
| Practice Fax Number | 2565390856 |
| Mailing Telephone | 2562654593 |
| Mailing Fax Number | 2562654599 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | KAY CURRY (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2562654595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
201 GOVERNORS DR SW 1ST FLOOR |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448866 | Carmalita Kelly | Nurse Practitioner | 201 Governors Dr Sw, Floor 1, Huntsville, AL 35801-5170 | 2006-02-27 |
| 1134764608 | Shannon Marie Fowler | Registered Nurse | 201 Governors Dr Sw, Huntsville, AL 35801-5170 | 2019-11-08 |
| 1457823700 | Charles Leon Preston | Physician Assistant | 201 Governors Dr Sw, Huntsville, AL 35801-5170 | 2018-12-27 |
| 1225573561 | Britney N Smith | Nurse Practitioner | 201 Governors Dr Sw, Fl 1, Huntsville, AL 35801-5171 | 2016-12-22 |
| 1962895458 | Amber Nichole Kinch | Nurse Practitioner | 201 Governors Dr Sw, Floor 1, Huntsville, AL 35801-5170 | 2015-03-09 |
| 1063801280 | Cynthia Bates | Nurse Practitioner | 201 Governors Dr Sw, Ste 400, Huntsville, AL 35801-5170 | 2015-01-12 |
| 1992121305 | Jason Daniel Hyche | Nurse Practitioner | 201 Governors Dr Sw, Fl 1, Huntsville, AL 35801-5171 | 2014-03-10 |
| 1205173119 | Diana V Layne | Pharmacist | 201 Governors Dr Sw, Huntsville, AL 35801-5170 | 2013-01-11 |
| 1104156264 | Jennifer Michelle Durham | Registered Nurse | 201 Governors Dr Sw, Suite 400, Huntsville, AL 35801-5170 | 2010-01-12 |
| 1659532901 | Carla Sims | Nurse Practitioner | 201 Governors Dr Sw, Ste 400, Huntsville, AL 35801-5170 | 2008-06-19 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1235679135 | Fox Medical | Specialist | 540 I-45 South, Suite B, Huntsville, TX 77340 | 2017-02-27 |
| 1295146850 | Monica Anderson | Specialist | 417 Jordan Ln Nw, Huntsville, AL 35805-2623 | 2014-05-15 |
| 1184974800 | Jitesh K Kar | Specialist | 2006 Franklin St Se Ste 202a, Huntsville, AL 35801-4537 | 2012-09-11 |
| 1215213269 | David Clarke | Specialist | 6275 University Dr Nw Ste 37-395, Huntsville, AL 35806-1776 | 2011-10-21 |
| 1396904298 | Mark Thomas Matzek | Specialist | Therapy Services 1963 South Memorial Parkway, Suite 12, Huntsville, AL 35801-5035 | 2008-06-05 |
| 1740484856 | Purva Charudatta Varadkar | Specialist | 7047 Old Madison Pike Nw Ste 310, Huntsville, AL 35806-2188 | 2007-06-13 |
| 1942419643 | Cheryl C Bazzle | Specialist | 333 Whitesport Dr., Suite 103, Huntsville, AL 35801 | 2007-05-21 |
| 1245457613 | Leslie Ronald Taylor | Specialist | 8911 Seaton Dr Se, Huntsville, AL 35802-3646 | 2007-04-19 |
| 1902020142 | Anthony R. Alexander | Specialist | 220 Rhett Ave Sw, Suite C, Huntsville, AL 35801-4552 | 2007-04-12 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on HUNTSVILLE HOSPITAL SPINE AND NEURO CENTER.
| 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.