Individual provider Active NPI

Donchelle Denise Scott-Collins, DNP, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1356302954
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-073364 Issued in AL
Practice address
24515 7TH Ave South
Birmingham, AL 35071
Phone
(205) 933-8101
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 1-073364 AL Primary

Addresses

Primary practice location

24515 7TH Ave South
Birmingham, AL 35071

Mailing address

2415 7TH Ave S
Birmingham, AL 35233-3317
Phone (205) 933-8101

Other practice location 1

151 6th Avenue South
Birmingham, AL 35233
Phone (205) 930-3265

Other identifiers 1

IdentifierTypeStateIssuer
051528064MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-073364ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart South Cardiovascular Group, P.C. PastSince Jul 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1356302954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333317",
            "telephone_number": "205-933-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24515 7TH AVE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-933-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 6th Avenue South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35233",
            "country_code": "US",
            "telephone_number": "205-930-3265",
            "fax_number": "205-930-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT-COLLINS",
        "first_name": "DONCHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-073364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051528064",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.