DOMINIQUE CRAIN (NPI# 1902332745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902332745 |
| Entity Type | Individual |
| Full Name | DOMINIQUE CRAIN |
| Credential | MD |
| Practice Address |
850 5th Ave E Tuscaloosa AL 35401-7419 |
| Mailing Address |
850 Peter Bryce Blvd Tuscaloosa AL 35401-7457 |
| Practice Telephone | 2053481770 |
| Practice Fax Number | 2053486561 |
| Mailing Telephone | 2053481770 |
| Mailing Fax Number | 2053481772 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093741969 | Dominique M Crain | Internal Medicine | 20375 W 151st St, 451, Olathe, KS 66061-5306 | 2006-06-23 |
| Street Address |
850 5TH AVE E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-7419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073583647 | Melissa Kuhajda | Psychologist | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2006-01-25 |
| 1487178901 | Larab Ahmed | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-07-26 |
| 1194246744 | Martha R Crowther | Psychologist | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-07-05 |
| 1619498698 | Amanda T Shaw | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-06-29 |
| 1609397686 | William H Tillman IIi | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-06-29 |
| 1972024958 | Jessica Powell | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-06-29 |
| 1700306263 | Laura Brown | Social Worker | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-06-26 |
| 1073049813 | Ronald Harrison | Family Medicine | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-05-11 |
| 1477089217 | Meghan Bonds | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-05-11 |
| 1538695374 | Matthew Gilbert | Family Medicine | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| 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 |
|---|---|---|---|---|
| 1437775996 | Asha Parr Hall | Student in an Organized Health Care Education/Training Program | 137 52nd St, Tuscaloosa, AL 35405-4900 | 2020-06-21 |
| 1437787256 | Morgan Gray | Student in an Organized Health Care Education/Training Program | 2109 Capital Hall Ua Athletic Training Program, Tuscaloosa, AL 35487-0001 | 2020-03-28 |
| 1215564398 | Addison Grace Trower | Student in an Organized Health Care Education/Training Program | 2109 Capital Hall, Tuscaloosa, AL 35487-0001 | 2020-03-26 |
| 1366007965 | Maddie Rose Edwards | Student in an Organized Health Care Education/Training Program | 1611 4th Ave Bldg A, Tuscaloosa, AL 35401-3515 | 2019-05-08 |
| 1801390299 | Stephanie Digiovanni Kinsley | Student in an Organized Health Care Education/Training Program | 850 Peter Bryce Blvd # D209, Tuscaloosa, AL 35401-7457 | 2018-03-20 |
| 1861911521 | Mallory Torkelson | Student in an Organized Health Care Education/Training Program | 430 Wesley Pl, Tuscaloosa, AL 35401-2068 | 2017-09-13 |
| 1053830703 | Peyton Thomas Lee | Student in an Organized Health Care Education/Training Program | 530 Frank Thomas Ave Apt 37, Tuscaloosa, AL 35401-2257 | 2017-09-13 |
| 1477090082 | Alison Costello | Student in an Organized Health Care Education/Training Program | Russell Hall University Blvd, Tuscaloosa, AL 35487-0001 | 2017-01-21 |
| 1588949150 | Heather Skipper | Student in an Organized Health Care Education/Training Program | 14426 Old Greensboro Rd, Tuscaloosa, AL 35405-9178 | 2011-10-14 |
| 1417172982 | Veronica Faye Perry | Student in an Organized Health Care Education/Training Program | 2201 48th St E Apt 1414, Tuscaloosa, AL 35405-5897 | 2007-04-17 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on DOMINIQUE CRAIN.
| 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.