Individual provider Active NPI

Laura Lewis Dauphin, CRNP

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1457248403
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-184782 Issued in AL
Practice address
5710 Watermelon Rd Ste 600
Northport, AL 35473-7696
Phone
(205) 345-6272
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-184782 AL Primary

Addresses

Primary practice location

5710 Watermelon Rd Ste 600
Northport, AL 35473-7696

Mailing address

5710 Watermelon Rd Ste 600
Northport, AL 35473-7696
Phone (205) 345-6272

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
I20251029003567 AL Practitioner - Nurse Practitioner 5294224333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Integrative Family Medicine, LLCGroup PAC ID 8921243577, 4 clinicians

Practice addresses (Care Compare)

5710 Watermelon Rd
Suite 600
Northport, AL 35473-7696
Phone (205) 330-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-184782ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Integrative Family Medicine, LLC CurrentSince Aug 2, 2025 Accepting new patients
Integrative Approaches to Wellness PastSince Jun 29, 2025 Accepting new patients

Locations

5710 Watermelon Rd
Ste 600
Northport, AL 35473
Phone (205) 330-5266

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1457248403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 WATERMELON RD STE 600",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354737696",
            "telephone_number": "205-345-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 WATERMELON RD STE 600",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354737696",
            "telephone_number": "205-345-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHIN",
        "first_name": "LAURA",
        "middle_name": "LEWIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-184782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.