1508848607 NPI number — DR. RAECHEL ALLISON ARMSTRONG MD

Table of content: BRITTANY FARIS PA-C (NPI 1720419336)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508848607 NPI number — DR. RAECHEL ALLISON ARMSTRONG MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMSTRONG
Provider First Name:
RAECHEL
Provider Middle Name:
ALLISON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARMSTRONG
Provider Other First Name:
RAYMOND
Provider Other Middle Name:
ALTON
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
JR.
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1508848607
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2006 FRANKLIN ST SE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-4537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-539-0457
Provider Business Mailing Address Fax Number:
256-539-5827

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2006 FRANKLIN ST SE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-4537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-539-0457
Provider Business Practice Location Address Fax Number:
256-539-5827
Provider Enumeration Date:
11/16/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  C149053 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 23186 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 54815 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 00020551 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51595594 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51595595 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51595605 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 9950095 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9950105 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 245819 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 246425 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51595587 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 135698 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 246216 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009950115 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 248605 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51067314 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51554631 . This is a "BCBS OF AL" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009950105 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 127025 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 213227 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 246322 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 247082 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009942789 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".