Individual provider Active NPI

Deanna Walker Seaman, NP

  • Pediatric Nurse Practitioner
  • Grand Bay, AL
National Provider Identifier
1215447750
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-125855 Issued in AL
Practice address
10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003
Phone
(251) 865-1852
Fax
(251) 865-1859
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-125855 AL Primary

Addresses

Primary practice location

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003

Mailing address

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003
Phone (251) 865-1852

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
I20180625002630 AL Practitioner - Nurse Practitioner 5991050478 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-125855ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Jun 12, 2020 Accepting new patients
Wilmer Medical Clinic, LLC CurrentSince Oct 1, 2018 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jun 12, 2020 Accepting new patients
South Alabama Medical Clinic, LLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541
Phone (251) 865-1852

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

6353 2nd St
Wilmer, AL 36587
Phone (251) 410-7425

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, 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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1215447750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 GRAND BAY WILMER RD S",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365415003",
            "telephone_number": "251-865-1852",
            "fax_number": "251-865-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 GRAND BAY WILMER RD S",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365415003",
            "telephone_number": "251-865-1852",
            "fax_number": "251-865-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMAN",
        "first_name": "DEANNA",
        "middle_name": "WALKER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-125855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Bay, AL

Sources for this page

Verify at the official NPI Registry.