Individual provider Active NPI

Dianne L Hartwig, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1104022946
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-099703 Issued in AL
Practice address
8371 Highway 72 West
Suite 104
Madison, AL 35758-9505
Phone
(256) 726-6970
Fax
(256) 726-6971
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-099703 AL Primary

Addresses

Primary practice location

8371 Highway 72 West
Suite 104
Madison, AL 35758-9505

Mailing address

PO Box 2705
Hunstville, AL 35804-2705
Phone (256) 726-6970

Other practice location 1

2597 Sparkman Dr NW
Huntsville, AL 35810-3868
Phone (256) 519-3650

Other practice location 2

813 Franklin St SE
Huntsville, AL 35801-4311
Phone (256) 519-3650

Other practice location 3

115 Saint Clair Ave SE Ste 200
Huntsville, AL 35801-4344
Phone (256) 519-3650

Other practice location 4

12205 County Line Rd Ste C
Madison, AL 35758-7720
Phone (256) 258-8319

Other identifiers 1

IdentifierTypeStateIssuer
1-099703OtherALLICENSE NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000433 AL Practitioner - Nurse Practitioner 5890974703 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-099703ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physician Care CurrentSince Nov 1, 2020 Accepting new patients
Reagan'S Clinic, LLC Family CurrentSince Jun 1, 2024 Accepting new patients
Madison Primary Care LLC CurrentSince Apr 20, 2025 Accepting new patients
Happi Health Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

12205 County Line Rd
Ste C
Madison, AL 35758
Phone (256) 246-8575

400 Sun Temple Dr
Madison, AL 35758
Phone (256) 774-5524

450 Lanier Rd
Madison, AL 35758
Phone (256) 774-4500

8371 Highway 72 W
Ste 104
Madison, AL 35758
Phone (256) 265-5640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12216/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dianne.hartwig.1@23004.direct.athenahealth.com

Organizations & group practices 4

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1104022946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNSTVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-726-6970",
            "fax_number": "256-726-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 HIGHWAY 72 WEST",
            "address_2": "SUITE 104",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589505",
            "telephone_number": "256-726-6970",
            "fax_number": "256-726-6971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2597 Sparkman Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358103868",
            "country_code": "US",
            "telephone_number": "256-519-3650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 Franklin St SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014311",
            "country_code": "US",
            "telephone_number": "256-519-3650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Saint Clair Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014344",
            "country_code": "US",
            "telephone_number": "256-519-3650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12205 County Line Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357587720",
            "country_code": "US",
            "telephone_number": "256-258-8319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "DIANNE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-099703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1-099703",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.