Individual provider Active NPI

Vonda Dawn Massie, FNP-BC

  • Family Nurse Practitioner
  • Rainsville, AL
National Provider Identifier
1366146680
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-080752 Issued in AL
Practice address
504 McCurdy Ave S # 6
Rainsville, AL 35986-5254
Phone
(256) 638-9161
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 1-080752 AL Primary

Addresses

Primary practice location

504 McCurdy Ave S # 6
Rainsville, AL 35986-5254

Mailing address

1635 Morris Cir
Scottsboro, AL 35768-5427
Phone (727) 249-6435

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
I20230816000073 AL Practitioner - Nurse Practitioner 0547622045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medicine LLC Family CurrentSince Jun 24, 2023 Accepting new patients
Family First Medicine LLC Past Accepting new patients

Locations

504 McCurdy Ave S
#6
Rainsville, AL 35986
Phone (256) 638-9161

1601 Veterans Dr
Ste 102
Scottsboro, AL 35769
Phone (256) 638-9161

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1366146680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 MORRIS CIR",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357685427",
            "telephone_number": "727-249-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S # 6",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "VONDA",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-080752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.