{
"Npi": {
"NPI": "1932041050",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "OCCUPATIONAL MEDICINE PLUS URGENT CARE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "900 COOLEY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALBERTVILLE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35950-8510",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7419 US HIGHWAY 431 STE ABC",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALBERTVILLE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35950-1167",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-558-3733",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/07/2026",
"LastUpdateDate": "04/07/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EAGLE",
"AuthorizedOfficialFirstName": "MOLLEY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRNP",
"AuthorizedOfficialTelephoneNumber": "256-558-3733",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QX0100X",
"TaxonomyName": "Occupational Medicine Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}