Individual provider Active NPI

Donna Mae Cordes, CRNP

  • Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1164445664
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1044510 Issued in AL
Practice address
801 Noble St # 400
Anniston, AL 36201-5698
Phone
(256) 770-4083
Fax
(256) 405-4997
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1044510 AL Primary

Addresses

Primary practice location

801 Noble St # 400
Anniston, AL 36201-5698

Mailing address

1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone (256) 492-0131

Other identifiers 1

IdentifierTypeStateIssuer
128480MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1044510ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Pathology Current Accepting new patients
TMS Wellness Institute, Inc. CurrentSince Jul 1, 2024 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients
Wilfredo Grana, M.D.,P.C. Past Accepting new patients
Allergy Associates, Inc Past Accepting new patients
William J. Fergson, Jr., MD PC Nurse Practitioner Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

801 Noble St
Ste 400
Anniston, AL 36201
Phone (256) 405-9097

Interoperability endpoints

  • Direct secure messaging: donna.cordes.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1164445664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 PIEDMONT CUTOFF",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032708",
            "telephone_number": "256-492-0131",
            "fax_number": "256-494-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NOBLE ST # 400",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015698",
            "telephone_number": "256-770-4083",
            "fax_number": "256-405-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "DONNA",
        "middle_name": "MAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1044510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128480",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.