NUTRIFOCUS (NPI# 1558992396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558992396 |
| Entity Type | Organization |
| Organization Name | NUTRIFOCUS |
| Practice Address |
4126 Autumn Ln Vestavia AL 35243-5209 |
| Mailing Address |
111 Oglesby Ave Birmingham AL 35209-6227 |
| Practice Telephone | 2053174111 |
| Mailing Telephone | 2053174111 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MRS. SUZANNE ELEAZER PIRKLE (OWNER) |
| Authorized Official Telephone | 2053174111 |
| Authorized Official Credential | MA,RD,LD,CEDRD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS-AL | 511-28637 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2204 Lakeshore Dr Ste 212, Birmingham, AL 352098835 | 2058797550 |
| Street Address |
4126 AUTUMN LN |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35243-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306396049 | Amy Liscomb | Dietitian, Registered | 4126 Autumn Ln, Vestavia, AL 35243-5209 | 2016-10-05 |
| 1346646569 | Suzanne Pirkle | Dietitian, Registered | 4126 Autumn Ln, Vestavia, AL 35243-5209 | 2014-11-16 |
| 1689019366 | Timothy D Deloach | Counselor | 4126 Autumn Ln, Vestavia, AL 35243-5209 | 2013-05-07 |
| 1629298518 | Lucy Caroline Nichols | Social Worker | 4126 Autumn Ln, Vestavia, AL 35243-5209 | 2007-04-26 |
| 1578780219 | Mark Darrell Driskill | Social Worker | 4126 Autumn Ln, Vestavia, AL 35243-5209 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
| 1528489259 | Summit Express Urgent Care, LLC | Clinic/Center | 1360 Montgomery Hwy, Suite 124, Vestavia, AL 35216-2749 | 2013-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
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| 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.