Individual provider Active NPI

Wendy Danielle Davis, CRNP

  • Family Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1225896608
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-130731 Issued in AL
Practice address
102 Physicians Dr Ste a
Muscle Shoals, AL 35661-2149
Phone
(256) 286-4026
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 1-130731 AL Primary

Addresses

Primary practice location

102 Physicians Dr Ste a
Muscle Shoals, AL 35661-2149

Mailing address

1910 County Farm Rd
Tuscumbia, AL 35674-5826
Phone (256) 415-1386

Other names 1

  • Mrs. Wendy Danielle Eckl Former name

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
I20240418002140 AL Practitioner - Nurse Practitioner 3072952407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lister Health Care CorporationGroup PAC ID 5395646202, 14 clinicians

Practice addresses (Care Compare)

102 Physicians Dr
Suite a
Muscle Shoals, AL 35661-2149
Phone (256) 286-4026

Hospital & facility affiliations

  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-130731ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Healthcare Corporation CurrentSince Mar 18, 2024 Accepting new patients
Lister Health Care Corporation CurrentSince Mar 18, 2024 Accepting new patients
Lister Health Care Corporation Past Accepting new patients

Locations

30320 AL Highway 53
Ste B
Ardmore, AL 35739
Phone (256) 423-4800

102 Physicians Dr
Ste A
Muscle Shoals, AL 35661
Phone (256) 286-4026

104 Physicians Dr
Ste A
Muscle Shoals, AL 35661
Phone (256) 246-3490

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1225896608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 COUNTY FARM RD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356745826",
            "telephone_number": "256-415-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PHYSICIANS DR STE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612149",
            "telephone_number": "256-286-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WENDY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "ECKL",
            "middle_name": "DANIELLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.