Active NPI
Dajah Souife, CRNP
- Family Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-156220
- Practice address
- 121 Continental Dr Apt 219
Madison, AL 35758-4800 - Phone
- (504) 442-0324
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-156220 | AL | Primary |
Addresses
Primary practice location
121 Continental Dr Apt 219
Madison, AL 35758-4800
Mailing address
121 Continental Dr Apt 219
Madison, AL 35758-4800
Phone (504) 442-0324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Single Specialty | Current | Accepting new patients |
| Innova Primary Care, PC | Single Specialty | Current | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393
145 Research Blvd
Ste 100
Madison, AL 35758
Phone (256) 882-1510
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFECDA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1053917856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CONTINENTAL DR APT 219",
"city": "MADISON",
"state": "AL",
"postal_code": "357584800",
"telephone_number": "504-442-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CONTINENTAL DR APT 219",
"city": "MADISON",
"state": "AL",
"postal_code": "357584800",
"telephone_number": "504-442-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUIFE",
"first_name": "DAJAH",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-156220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
- Solidarity Medical Care
- Latoya Ann Solomon, PH.D BC-FNP
- Angela Renee Sommerset, M.D.
- Soothing Shores Counseling, LLC
- Sohrob Sotoudehnia, DMD
- Soulcare Medical Consultant LLC
- Southeastern Medical Group, LLC
- Southeastern Podiatry LLC
- Southeastern Skin Cancer & Dermatology
- Southern Care Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.