STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH (NPI# 1376851162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376851162 |
| Entity Type | Organization |
| Organization Name | STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH |
| Practice Address |
15 Hospital Rd. Crenshaw Co. Health Dept Luverne AL 36049 |
| Practice Telephone | 3343352471 |
| Practice Fax Number | 3343353795 |
| Mailing Telephone | 3343352471 |
| Mailing Fax Number | 3343353795 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Authorized Official Name | DAJUNA LYNN TATOM (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3343352471 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-059257 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942517420 | State of Alabama Department of Public Health | Nurse Practitioner | 20 Technology Ct., Martha C. Myers F/p Clinic, Montgomery, AL 36116-3200 | 2010-09-07 |
| 1801103387 | State of Alabama Department of Public Health | Nurse Practitioner | 510 Cherry St. Ne, Decatur, AL 35602-1628 | 2010-09-07 |
| 1831406313 | State of Alabama Department of Public Health | Nurse Practitioner | 301 Max Luther Drive, Huntsville, AL 35811-1724 | 2010-09-07 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1154572840 | State of Alabama Department of Public Health | Public Health or Welfare | 201 Monroe Street, Suite 1080, Montgomery, AL 36104 | 2008-10-01 |
| 1447326731 | State of Alabama Department of Public Health | Home Health | 4200-a Highway 79, South, Guntersville, AL 35976 | 2006-11-28 |
| 1194894469 | State of Alabama Department of Public Health | Home Health | 110 Thomas St, Athens, AL 35611-2120 | 2006-11-08 |
| 1457420952 | State of Alabama Department of Public Health | Home Health | 709 E Broad St, Gadsden, AL 35903-2452 | 2006-11-07 |
| 1750460523 | State of Alabama Department of Public Health | Home Health | 2024 Granade, Chatom, AL 36518 | 2006-11-03 |
| 1245318641 | State of Alabama Department of Public Health | Home Health | 2324 14th Ave, Haleyville, AL 35565-1852 | 2006-11-02 |
| Street Address |
15 HOSPITAL RD. CRENSHAW CO. HEALTH DEPT |
| City | LUVERNE |
| State | AL |
| Zip Code | 36049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841711918 | Cherokee Community Dialysis, LLC | Clinic/Center | 485 Northwood Drive, Centre, AL 36049 | 2017-06-29 |
| 1184171761 | Ayida Cumberland | Counselor | 8 South Place Drive, # D3, Luverne, AL 36049 | 2016-09-01 |
| 1720270697 | Professional Resources Management Psychiatric Services, LLC | Psychiatric Hospital | 150 Hospital Drive, Luverne, AL 36049 | 2007-08-15 |
| 1194800706 | Crenshaw Drugs Inc | Durable Medical Equipment & Medical Supplies | 1440 S Forest Ave, Luverne, AL 36049 | 2006-10-25 |
| 1477649705 | James Thomas Sanders | Dentist | 1666 S Forest Ave, Luverne, AL 36049 | 2006-10-05 |
| 1568631992 | State of Alabama | Public Health or Welfare | Highway 331 South, Luverne, AL 36049-0151 | 2008-02-29 |
| 1780646307 | Hometown Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 80 N Forest Ave, Luverne, AL 36049-1133 | 2006-04-06 |
| 1457308066 | Luverne Health and Rehabilitation, LLC | Skilled Nursing Facility | 142 W 3rd St, Luverne, AL 36049-1348 | 2006-05-28 |
| 1023247129 | Sheena Torial Hill | Occupational Therapist | 142 W 3rd St, Luverne, AL 36049-1348 | 2009-07-09 |
| 1790914893 | Michael Stephen Maddox | Physical Therapist | 142 W 3rd St, Luverne, AL 36049-1348 | 2009-07-09 |
| Find all providers in zip 36049 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659849784 | Rachelle Dawn Vandegriend | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2018-11-07 |
| 1699241042 | Janet D Pouncy | Nurse Practitioner | 58 Roy Beall Dr, Luverne, AL 36049-6800 | 2018-10-23 |
| 1548753684 | Katy Marie Zogg | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2018-06-13 |
| 1770961724 | Alisha Nichole Hilburn | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2015-05-11 |
| 1285994822 | William Grant Roper | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2012-05-16 |
| 1255649992 | Dajuna Tatom | Nurse Practitioner | 15 Hospital Dr, Luverne, AL 36049-7341 | 2010-09-15 |
| 1235360173 | Jonathan Pap | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2009-07-27 |
| 1396981346 | Samantha Lynn Hoffman | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2008-12-22 |
| 1467676577 | Amy Hilburn Mills | Nurse Practitioner | 1704 S Forest Ave, Luverne, AL 36049-7306 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 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.