Individual provider Active NPI

Daphne Crenshaw, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1346755675
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-001501 Issued in AL
Practice address
2119 E South Blvd Ste 200
Montgomery, AL 36116-2496
Phone
(334) 613-7070
NPI assigned
Dec 8, 2017
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902447 MS
Family Nurse Practitioner 363LF0000X 3-001501 AL Primary

Addresses

Primary practice location

2119 E South Blvd Ste 200
Montgomery, AL 36116-2496

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Other practice location 1

715A Division St
Biloxi, MS 39530-2209
Phone (228) 374-4991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 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
I20171228001565 MS Practitioner - Nurse Practitioner 0345508156 Reassigns benefits to 1 organization
I20240123001084 AL Practitioner - Nurse Practitioner 0345508156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

101 Paul Stabler Dr
Greenville, AL 36037-3133
Phone (334) 382-0734

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-001501ALMDFamily Nurse Practitioner
902447MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Feb 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince Jul 25, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Feb 1, 2024 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Dec 12, 2017 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
American Family Care, LLC CurrentSince Jul 25, 2024 Accepting new patients
Coastal Family Health Center, Inc. CurrentSince Dec 12, 2017 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

101 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 382-0734

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2119 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 613-7070

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

1965 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 323-1330

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003

Interoperability endpoints

  • Direct secure messaging: daphne.johnson.p1@direct.cfhc.nextgenshare.com

Organizations & group practices 10

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1346755675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E SOUTH BLVD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162496",
            "telephone_number": "334-613-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715A Division St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395302209",
            "country_code": "US",
            "telephone_number": "228-374-4991",
            "fax_number": "228-436-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "DAPHNE",
        "credential": "DNP,  APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902447",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.