Individual provider Active NPI

Darlene Santamour, CNP

  • Adult Health Nurse Practitioner
  • Trussville, AL
National Provider Identifier
1245656511
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
105957 Issued in AL
Practice address
1110 N Chalkville Rd
Suite 120
Trussville, AL 35173-1083
Phone
(205) 655-1092
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 105957 AL Primary

Addresses

Primary practice location

1110 N Chalkville Rd
Suite 120
Trussville, AL 35173-1083

Mailing address

1110 N Chalkville Rd
Suite 120
Trussville, AL 35173-1083
Phone (205) 655-1092

Other names 1

  • Ms. Darlene Santamour Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140514001490 AL Practitioner - Nurse Practitioner 1951524214
I20240105002752 TN Practitioner - Nurse Practitioner 1951524214 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105957ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Jan 1, 2024 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1512 Hatcher Ln
Columbia, TN 38401
Phone (615) 257-6844

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014

Organizations & group practices 2

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1245656511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N CHALKVILLE RD",
            "address_2": "SUITE 120",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731083",
            "telephone_number": "205-655-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N CHALKVILLE RD",
            "address_2": "SUITE 120",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731083",
            "telephone_number": "205-655-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMOUR",
        "first_name": "DARLENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "105957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "SANTAMOUR",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.