MR. ANDREW WARREN DAFFORN (NPI# 1093100513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093100513 |
| Entity Type | Individual |
| Full Name | MR. ANDREW WARREN DAFFORN |
| Practice Address |
1104 Bob Jones Rd Scottsboro AL 35769-6306 |
| Practice Telephone | 2562444548 |
| Mailing Telephone | 2562444548 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S10732 | AL | Student, Health Care |
| Street Address |
1104 BOB JONES RD |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35769-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1780192765 | Family First Medicine LLC | Family Medicine | 1601 Veterans Drive, Scottsboro, AL 35769 | 2018-01-12 |
| 1023566205 | Allyscripts LLC | Pharmacy | 201 Lonnie E Crawford Blvd, Suite B, Scottsboro, AL 35769 | 2016-09-15 |
| 1386971257 | Jonathan Wallace Gurr | Pediatrics | 23800 John T. Reid Pkwy, Scottsboro, AL 35769 | 2009-11-12 |
| 1174645923 | The Arc of Jackson County | Day Training, Developmentally Disabled Services | 180 Mack Morris Drive, Scottsboro, AL 35769 | 2007-04-04 |
| 1588742233 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-01 |
| 1851463368 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-14 |
| 1598319121 | Stacy Kennamer | Occupational Therapist | 157 Brad St, Scottsboro, AL 35769-3419 | 2019-07-31 |
| 1376864132 | Laurel Rico | Occupational Therapist | 692 Ruby Johnson Dr, Scottsboro, AL 35769-3633 | 2010-06-16 |
| 1497848063 | Douglass Vance | Military Health Care Provider | 264 Belle Dr, Scottsboro, AL 35769-3652 | 2006-10-02 |
| Find all providers in zip 35769 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729342 | Nina Stewart | Student in an Organized Health Care Education/Training Program | 624 S Market St, Scottsboro, AL 35768-1737 | 2020-01-23 |
| 1114557626 | Matthew Vickers | Student in an Organized Health Care Education/Training Program | 3207 Hillcrest Dr, Scottsboro, AL 35769-6421 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676747 | Tully Booth Davis | Student in an Organized Health Care Education/Training Program | 705 Emerald Dr, Prattville, AL 36067-3711 | 2020-10-12 |
| 1679170823 | Terri Kast | Student in an Organized Health Care Education/Training Program | 2826 Moody Pkwy Ste A, Moody, AL 35004-3101 | 2020-10-01 |
| 1891302907 | Dyneisha Barrett | Student in an Organized Health Care Education/Training Program | 2251 Liberty Ct, Mobile, AL 36608-9145 | 2020-09-23 |
| 1174135966 | Amberlyn Nicole Baker | Student in an Organized Health Care Education/Training Program | 5370 Elgin Dr W, Grand Bay, AL 36541-3272 | 2020-08-21 |
| 1548872344 | Shelby Glynn | Student in an Organized Health Care Education/Training Program | 1200 Somerby Dr Apt 326, Mobile, AL 36695-5429 | 2020-08-21 |
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1366054496 | Marc Simon | Student in an Organized Health Care Education/Training Program | 7866 Taylor Park Rd Apt G, Montgomery, AL 36117-4769 | 2020-08-19 |
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1912518549 | Makenzie Rose-lynn Dunning | Student in an Organized Health Care Education/Training Program | 2841 Leigh Ct, Mobile, AL 36695-9794 | 2020-08-17 |
| 1093326613 | Rachael Lauren Abroms | Student in an Organized Health Care Education/Training Program | 871 W Briar Ct, Mobile, AL 36609-5167 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBORO |
| Zip Code | 35769 |
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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.