Active NPI
Dianne L Hartwig, CRNP
- Family Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-099703
- 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
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 | 1-099703 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-099703 | Other | AL | LICENSE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-099703 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Physician Care | Current | Accepting new patients | |
| Reagan'S Clinic, LLC | Family | Current | Accepting new patients |
| Madison Primary Care LLC | Current | 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
- https://api.platform.athenahealth.com/12216/brand/1/csg/1/fhir/r4
- 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.
-
- Developmental - Behavioral Pediatrics Physician
- Madison, AL
- NPI 1558123190
AL, Family
-
- Federally Qualified Health Center (FQHC)
- Huntsville, AL
- NPI 1528580404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.