Active NPI
Erin Harrell, CRNP
- Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-121879
- Practice address
- 1108 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 712-3635
- NPI assigned
- Jul 18, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-121879 | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
PO Box 1928
Dothan, AL 36302-1928
Phone (334) 793-8705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-6573
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-121879 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Cardiology Clinic Inc. | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients |
Locations
102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1146 Ross Clark Cir
Dothan, AL 36301
Phone (334) 618-7313
1150 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-2770
1340 Highway 231 S
Ste 2
Troy, AL 36081
Phone (334) 293-8922
4257 Lafayette St
Marianna, FL 32446
Phone (850) 482-9488
3700 Williams Dr
Marianna, FL 32446
Phone (850) 482-9200
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1376066688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1928",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363021928",
"telephone_number": "334-793-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-712-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-121879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.