KELLY VINCENT DAUENHEIMER (NPI# 1518424266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518424266 |
Entity Type | Individual |
Full Name | KELLY VINCENT DAUENHEIMER |
Credential | CRNP |
Practice Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
Practice Telephone | 2516338880 |
Mailing Telephone | 2516338880 |
Enumeration Date | 2019-02-28 |
Last Update Date | 2019-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-144593 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6701 AIRPORT BLVD STE A101 |
City | MOBILE |
State | AL |
Zip Code | 36608-6767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043264294 | Carmen P May | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2006-05-20 |
1790384196 | Jill Gates | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-10-19 |
1578178943 | Deanna Willyerd | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-09-13 |
1750993945 | Brittany M Wilson | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-08-19 |
1770118622 | Brooke Gacek | Dietitian, Registered | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-03-10 |
1699307942 | Breanne Curtis Bishop | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-02-05 |
1194201277 | Clay Sheffield Agee | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2018-07-12 |
1124529870 | University of South Alabama Health Care Authority Physician Billing Co | Clinic/Center | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2018-02-27 |
1174919153 | Adam Herring | Internal Medicine | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2015-04-07 |
1821406026 | Rosanne B. Wilson | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2014-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
Find all providers in zip 36608 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
1760843981 | Tatianne Bell | Nurse Practitioner | 3862 Cypress Shores Dr N, Mobile, AL 36619-9713 | 2016-03-15 |
1639298540 | Linda Sullivan | Nurse Practitioner | 210 Government St, Mobile, AL 36602-2614 | 2007-03-29 |
1518924828 | Kim Havas | Nurse Practitioner | 3737 Government Blvd, Ste 408, Mobile, AL 36693-4308 | 2006-04-28 |
1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
1598310740 | Mary Jane Smith | Nurse Practitioner | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2019-08-05 |
1043774664 | Rachael Hughes Taylor | Nurse Practitioner | 22 Mobile St, Mobile, AL 36607-3121 | 2019-01-28 |
1750888921 | Roselee Roxane Fenley | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-04-12 |
1477059392 | Zakiyyah Jones | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-03-30 |
1356872212 | Paul Ryland Murden | Nurse Practitioner | 5 Mobile Infirmary Cir, Psych Services, Mobile, AL 36607-3513 | 2017-03-22 |
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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.