Individual provider Active NPI

Sarah Elizabeth Dalvine, CRNP

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1174039002
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-1335596 Issued in AL
Practice address
1891 Honeysuckle Rd Ste 2
Dothan, AL 36305-4291
Phone
(334) 673-0494
Fax
(334) 678-7225
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 1-1335596 AL Primary

Addresses

Primary practice location

1891 Honeysuckle Rd Ste 2
Dothan, AL 36305-4291

Mailing address

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111

Other practice location 1

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111 ext. 2932

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
I20180627001231 AL Practitioner - Nurse Practitioner 8527314939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Alabama AIDS Outreach IncGroup PAC ID 7517212376, 16 clinicians

Practice addresses (Care Compare)

2703 7TH St
Tuscaloosa, AL 35401-1865
Phone (205) 759-8470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-1335596ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc Nurse Practitioner CurrentSince Apr 19, 2024 Accepting new patients
West Alabama AIDS Outreach Inc Nurse Practitioner Current Accepting new patients
West Alabama AIDS Outreach PastSince Apr 27, 2025 Accepting new patients

Locations

2573 Fairlane Dr
Montgomery, AL 36116
Phone (334) 280-3349

2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

Interoperability endpoints

  • Direct secure messaging: sarah.dalvine.1@30992.direct.athenahealth.com

Organizations & group practices 3

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": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1174039002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-793-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 HONEYSUCKLE RD STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054291",
            "telephone_number": "334-673-0494",
            "fax_number": "334-678-7225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Ross Clark Cir",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363013022",
            "country_code": "US",
            "telephone_number": "334-793-8111 x2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALVINE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-1335596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.