Individual provider Active NPI

Deborah Leann Putman, CRNP

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1386981322
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-064057 Issued in AL
Practice address
3515 Cloverdale Rd
Florence, AL 35633-1301
Phone
(256) 284-7706
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-064057 AL Primary

Addresses

Primary practice location

3515 Cloverdale Rd
Florence, AL 35633-1301

Mailing address

3515 Cloverdale Rd
Florence, AL 35633-1301
Phone (256) 284-7706

Other practice location 1

12490 Al Highway 157
Moulton, AL 35650-1062
Phone (256) 284-7706

Other practice location 2

7377 Highway 43
Florence, AL 35634-4223
Phone (256) 757-0194

Other practice location 3

343 Highway 72
Killen, AL 35645
Phone (256) 284-7706

Other identifiers 1

IdentifierTypeStateIssuer
299733MedicaidAL

Other names 1

  • Deborah Leann Condon Former name

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
I20130408000441 AL Practitioner - Nurse Practitioner 5597900985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians
Hamilton Family Urgent Care, IncGroup PAC ID 4183057391, 18 clinicians

Practice addresses (Care Compare)

123 Ana Dr
Florence, AL 35630-1731
Phone (888) 220-6432

3515 Cloverdale Rd
Florence, AL 35633-1301
Phone (256) 284-7706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Family Urgent Care, Inc CurrentSince Nov 1, 2022 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Dec 1, 2024 Accepting new patients
Hamilton Family Urgent Care, Inc CurrentSince May 25, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients
Hamilton Family Urgent Care, Inc PastSince May 25, 2025 Accepting new patients
Med-Plus Muscle Shoals LLC PastSince Sep 18, 2017 Accepting new patients

Locations

123 Ana Dr
Florence, AL 35630
Phone (256) 349-2533

3500 Cloverdale Rd
Florence, AL 35633
Phone (256) 284-7706

3515 Cloverdale Rd
Florence, AL 35633
Phone (256) 284-7706

1102 Monroe St SW
Huntsville, AL 35801
Phone (256) 469-7200

343 Highway 72
Killen, AL 35645
Phone (256) 284-7706

20 Hughes Rd
Ste 103
Madison, AL 35758

12490 AL Highway 157
Moulton, AL 35650
Phone (256) 284-7706

108 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 284-7706

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1386981322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331301",
            "telephone_number": "256-284-7706",
            "fax_number": "256-284-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331301",
            "telephone_number": "256-284-7706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12490 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "AL",
            "postal_code": "356501062",
            "country_code": "US",
            "telephone_number": "256-284-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7377 Highway 43",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356344223",
            "country_code": "US",
            "telephone_number": "256-757-0194",
            "fax_number": "256-757-0197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 Highway 72",
            "address_purpose": "LOCATION",
            "city": "Killen",
            "state": "AL",
            "postal_code": "35645",
            "country_code": "US",
            "telephone_number": "256-284-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "DEBORAH",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-064057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299733",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CONDON",
            "middle_name": "LEANN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.