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Active NPI 1295498970 Individual Practitioner Female Practitioner

Tiesha Gresham , REGISTERED NURSE

Registered Nurse - Administrator • Birmingham, AL

Professional Overview & Biography Verified Profile Summary

Tiesha Gresham, REGISTERED NURSE is a registered healthcare professional specializing in Registered Nurse - Administrator in Birmingham, AL. Practice services are available at 500 GENE REED RD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Gene Reed Rd Ste 103

Birmingham, AL 352158260

Telephone 2054075718
Fax 2054075802
Associated Practice Facility / Clinic
🏢 Lyfelines Certification And Staffing, L.l.c. Facility NPI 1538822218

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - Administrator in Birmingham, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Birmingham, AL (15 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-19
Registered Nurse - Administrator Primary Specialty

NUCC Taxonomy Code: 163WA2000X

State License AL 1-109186

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active October 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2021

Registered at 500 GENE REED RD STE 103, BIRMINGHAM, AL 352158260 (Tel: 2054075718)

📍
Updated Business Mailing Address October 19, 2021

Registered at 500 GENE REED RD STE 103, BIRMINGHAM, AL 352158260 (Tel: 2054075718)

👤
Provider Name / Credentials Updated October 19, 2021

Recorded as TIESHA GRESHAM, REGISTERED NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2021

Registered Nurse (License #1-109186 in AL)

🟢
Initial NPI Registration & Enumeration October 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295498970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2021
Last Update: October 19, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

500 Gene Reed Rd Ste 103

Birmingham, AL 352158260

Phone: 2054075718

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.