Individual provider Active NPI

Dinah Pritchett, CRNP

  • Nurse Practitioner
  • Grove Hill, AL
National Provider Identifier
1558356394
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RX#1296 Issued in AL
Practice address
295B S Jackson St
Grove Hill, AL 36451-3231
Phone
(251) 275-3173
Fax
(251) 275-3110
NPI assigned
Sep 19, 2005
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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 RX#1296 AL Primary

Addresses

Primary practice location

295B S Jackson St
Grove Hill, AL 36451-3231

Mailing address

1160 Hebron Rd
PO Box 585
Grove Hill, AL 36451-5066
Phone (251) 275-4742

Other identifiers 3

IdentifierTypeStateIssuer
RX#1296OtherALCRNP LICENSE
1-064122OtherALRN LICENSE
541003934MedicaidAL

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
I20040408000113 AL Practitioner - Nurse Practitioner 8426041930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

295 B S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3173

297 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-2286

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RX#1296ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grove Hill Memorial Hospital, Inc CurrentSince Apr 13, 2009 Accepting new patients
Grove Hill Memorial Hospital, Inc Past Accepting new patients

Locations

295B S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3173

297 S Jackson St
Grove Hill, AL 36451
Phone (251) 275-2286

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1558356394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HEBRON RD",
            "address_2": "PO BOX 585",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364515066",
            "telephone_number": "251-275-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295B S JACKSON ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513231",
            "telephone_number": "251-275-3173",
            "fax_number": "251-275-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "DINAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "RX#1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "RX#1296",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1-064122",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003934",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove Hill, AL

Sources for this page

Verify at the official NPI Registry.