DOREEN N PERKINS (NPI# 1720012305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720012305 |
| Entity Type | Individual |
| Full Name | DOREEN N PERKINS |
| Credential | CRNP |
| Practice Address |
3485 Independence Dr Homewood AL 35209-5603 |
| Practice Telephone | 2059300920 |
| Practice Fax Number | 2054450115 |
| Mailing Telephone | 2059300920 |
| Mailing Fax Number | 2054450115 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-032272 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 129528 | 05 | |
| CIGNA GOVERNMENT SERVICES PTAN | 0366100001 | 01 | |
| AL | MEDICARE PTAN | 102I502031 | 01 |
| AL | BLUE CROSS BLUE SHIELD OF ALABAMA | 511-15745 | 01 |
| Street Address |
3485 INDEPENDENCE DR |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498370 | Brian J Larson | Radiology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2005-06-21 |
| 1497232458 | Mersadies Berlynn Orr | Nurse Practitioner | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-07-23 |
| 1649775412 | Bellamy Clarissa Davis | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-03-26 |
| 1831633098 | Krystle E Phillips | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2016-12-07 |
| 1265824395 | David Thomas Gilmore | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2015-02-26 |
| 1275890386 | Tyler Lewis Poston | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2012-04-13 |
| 1831489707 | Laura Ashley Martin | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2011-04-13 |
| 1770710915 | Alison Marie Parden | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2009-06-15 |
| 1073778452 | Michael Eric Brewer Jr. | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-07-24 |
| 1427218460 | Austin T Lutz | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922516723 | Keitha Farley | Nurse Practitioner | 17901 Governors Hwy Ste 202, Homewood, IL 60430-1146 | 2018-01-14 |
| 1649780446 | Retta Perkins | Nurse Practitioner | 18711 Loomis Ave, Homewood, IL 60430-4052 | 2017-10-05 |
| 1528580917 | Natalie Joy Zimmer | Nurse Practitioner | 17901 Governors Hwy Ste 206, Homewood, IL 60430-1146 | 2017-07-07 |
| 1720634827 | Mary Elizabeth Waterloo | Nurse Practitioner | 17901 Governors Hwy Ste 206, Homewood, IL 60430-1146 | 2019-08-14 |
| 1316592884 | Alison Hayes | Nurse Practitioner | 1920 Huntington Rd, Homewood, AL 35209-4104 | 2019-08-01 |
| 1447792338 | Caroline Wilson | Nurse Practitioner | 1651 Independence Ct Ste 211, Homewood, AL 35209-4179 | 2016-11-09 |
| 1811018070 | Eric D Westerlund | Nurse Practitioner | 3485 Independence Dr, Homewood, AL 35209-5603 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| 1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
| 1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
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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.