Active NPI
Debra L. Hall, CRNP
- Women's Health Nurse Practitioner
- Fort Rucker, AL
National Provider Identifier
1427259662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- HAL1-0429-1173
- Practice address
- Building 301 Andrews Ave
Ft. Rucker, AL 36362-5333 - Phone
- (334) 255-7755
- Fax
- (334) 255-7439
- NPI assigned
- May 29, 2007
- Last updated
- Nov 10, 2009
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | HAL1-0429-1173 | AL | Primary |
Addresses
Primary practice location
Building 301 Andrews Ave
Ft. Rucker, AL 36362-5333
Mailing address
111 Oakmont LN
Dothan, AL 36301-5939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAL1-0429-1173 | AL | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1427259662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAKMONT LN",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 301 ANDREWS AVE",
"city": "FT. RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "334-255-7755",
"fax_number": "334-255-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "DEBRA",
"middle_name": "L.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AL",
"license": "HAL1-0429-1173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.