Active NPI
Dana Suzette Norris, CRNP
- Primary Care Nurse Practitioner
- Fayette, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-064065
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0051557547 | Medicaid | AL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-064065 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NWMC Winfield Physicians LLC | Current | Accepting new patients | |
| FMC Medical Clinic - Fayette LLC | Current | Accepting new patients | |
| DCH Provider Services, LLC | Current | Accepting new patients | |
| DCH Provider Services, LLC | Current | Accepting new patients | |
| NWMC Winfield Physician Practices LLC | Past | Accepting new patients | |
| FMC Medical Clinic - Berry LLC | Past | 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
- https://fhir4.healow.com/fhir/r4/EBBFBD
- 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.
-
- Family Medicine Physician
- Fayette, AL
- NPI 1588141063
-
- Internal Medicine Physician
- Tuscaloosa, AL
- NPI 1982103974
-
- Family Medicine Physician
- Winfield, AL
- NPI 1366831380
-
dba DCH Professional Ancillary Services
- Diagnostic Radiology Physician
- Tuscaloosa, AL
- NPI 1639918410
-
dba Berry Medical Clinic
- Family Medicine Physician
- Berry, AL
- NPI 1588376800
-
dba Northwest Family Care
- Family Medicine Physician
- Winfield, AL
- NPI 1316353006
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Tuscaloosa
- Home Health Agency
- Northport, AL
- NPI 1093773319
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
-
dba Adoration Home Health
- Home Health Agency
- Fayette, AL
- NPI 1821241613
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
- Morningside of Fayette, L.P. (Morningside of Fayette)
- Morningview Estates, LLC
- John E Morrison Jr., M.D.
- Frederick C Moses, O.D.
- Charles W Nolen Jr., M.D.
- Northstar EMS Inc (Fayette County EMS)
- Northwest Alabama Mental Health Center
- Brittany Nicole Pate, PHARM D
- Bruce Allen Perry, O.D.
- Kimberly Pinkerton, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.