NPIMap

Organization Active NPI

State of Alabama Department of Public Health

  • Family Nurse Practitioner
  • Luverne, AL
National Provider Identifier
1376851162
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-059257 Issued in AL
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Practice address
15 Hospital Rd.
Crenshaw Co. Health Dept
Luverne, AL 36049
Phone
(334) 335-2471
Fax
(334) 335-3795
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dajuna Lynn Tatom, CRNPNPI 1255649992
Title
Nurse Practitioner
Phone
(334) 335-2471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-059257 AL Primary

Addresses

Primary practice location

15 Hospital Rd.
Crenshaw Co. Health Dept
Luverne, AL 36049

Mailing address

15 Hospital Rd.
Crenshaw Co. Health Dept
Luverne, AL 36049
Phone (334) 335-2471

National Provider Directory

National Provider Directory
Tax ID family
Escambia County Health Dept-Brewton Mat1,340 organizations share this tax ID, including this one
Part of
Escambia County Health Dept-Brewton Mat

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1376851162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL RD.",
            "address_2": "CRENSHAW CO. HEALTH DEPT",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "36049",
            "telephone_number": "334-335-2471",
            "fax_number": "334-335-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL RD.",
            "address_2": "CRENSHAW CO. HEALTH DEPT",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "36049",
            "telephone_number": "334-335-2471",
            "fax_number": "334-335-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "TATOM",
        "authorized_official_first_name": "DAJUNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "334-335-2471",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-059257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.