Individual provider Active NPI

Deann B Cobble, CRNP

  • Family Nurse Practitioner
  • Rainsville, AL
National Provider Identifier
1427475045
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-101951 Issued in AL
Practice address
504 McCurdy Ave S
Ste 6
Rainsville, AL 35986-5254
Phone
(256) 638-9161
Fax
(256) 638-9164
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-101951 AL
Family Nurse Practitioner 363LF0000X 1-101951 AL Primary

Addresses

Primary practice location

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

Mailing address

PO Box 649
Rainsville, AL 35986-0649
Phone (256) 638-9161

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
I20140520002506 AL Practitioner - Nurse Practitioner 6800019829 Reassigns benefits to 1 organization

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
Sherrill Holdings, IncGroup PAC ID 6204175003, 2 clinicians
Faith Medical Clinic LLCGroup PAC ID 8022429208, 2 clinicians

Practice addresses (Care Compare)

1202 Gault Ave N
Fort Payne, AL 35967-3040
Phone (256) 273-6827

1906 Glenn Blvd SW
Suite 100a
Fort Payne, AL 35968-3545
Phone (256) 638-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-101951ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrill Holdings, Inc CurrentSince Dec 17, 2020 Accepting new patients
Family First Medicine LLC Past Accepting new patients

Locations

1202 Gault Ave N
Fort Payne, AL
Phone (256) 273-6827

Organizations & group practices 3

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1427475045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860649",
            "telephone_number": "256-638-9161",
            "fax_number": "256-638-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S",
            "address_2": "STE 6",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161",
            "fax_number": "256-638-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBLE",
        "first_name": "DEANN",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-101951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-101951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.