Individual provider Active NPI

Dana Suzette Norris, CRNP

  • Primary Care Nurse Practitioner
  • Fayette, AL
National Provider Identifier
1356433064
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-064065 Issued in AL
Practice address
1653 Temple Ave N Ste 1
Fayette, AL 35555
Phone
(205) 932-1421
Fax
(205) 932-1428
NPI assigned
Sep 29, 2006
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-064065 AL Primary

Addresses

Primary practice location

1653 Temple Ave N Ste 1
Fayette, AL 35555

Mailing address

1653 Temple Ave N Ste 1
Fayette, AL 35555-1314
Phone (205) 932-1421

Other practice location 1

32 School Ave
Berry, AL 35546
Phone (205) 689-1003

Other identifiers 1

IdentifierTypeStateIssuer
N0051557547MedicaidAL

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
I20060505000842 AL Practitioner - Nurse Practitioner 5991716870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC Medical Clinic - Fayette LLCGroup PAC ID 3375894041, 7 clinicians

Practice addresses (Care Compare)

1653 Temple Ave N
Suite 1
Fayette, AL 35555-1314
Phone (205) 932-5966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-064065ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NWMC Winfield Physicians LLC CurrentSince Apr 4, 2015 Accepting new patients
FMC Medical Clinic - Fayette LLC CurrentSince Aug 5, 2018 Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
NWMC Winfield Physician Practices LLC Past Accepting new patients
FMC Medical Clinic - Berry LLC PastSince Dec 28, 2022 Accepting new patients

Locations

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1653 Temple Ave N
Ste 1
Fayette, AL 35555
Phone (205) 932-1421

1110 Dr Edward Hillard Dr
Ste A
Tuscaloosa, AL 35401

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
  • Direct secure messaging: mlp.norda@direct.dchsystem.com

Organizations & group practices 6

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.

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1356433064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 TEMPLE AVE N STE 1",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551314",
            "telephone_number": "205-932-1421",
            "fax_number": "205-932-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 TEMPLE AVE N STE 1",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "35555",
            "telephone_number": "205-932-1421",
            "fax_number": "205-932-1428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 School Ave",
            "address_purpose": "LOCATION",
            "city": "Berry",
            "state": "AL",
            "postal_code": "35546",
            "country_code": "US",
            "telephone_number": "205-689-1003",
            "fax_number": "205-689-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "DANA",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-064065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0051557547",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.