Individual provider Active NPI

Deanna Willyerd, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1578178943
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-137707 Issued in AL
Practice address
6701 Airport Blvd Ste A101
Mobile, AL 36608-6767
Phone
(251) 633-8880
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 1-137707 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste A101
Mobile, AL 36608-6767

Mailing address

6701 Airport Blvd Ste A101
Mobile, AL 36608-6767
Phone (251) 633-8880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmjones@health.southalabama.edu Direct USA Health

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
I20201016002174 AL Practitioner - Nurse Practitioner 3577983303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

2423 Schillinger Rd S
Mobile, AL 36695-4136
Phone (251) 660-5950

6300 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-137707ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Sep 1, 2020 Accepting new patients
USA Health Community Providers LLC Past Accepting new patients

Locations

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

2270 Hillcrest Rd
Mobile, AL 36695
Phone (251) 666-2213

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Mobile, AL 36608
Phone (251) 471-7870

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: deanna.willyerd.1@16253.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1578178943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086767",
            "telephone_number": "251-633-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086767",
            "telephone_number": "251-633-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLYERD",
        "first_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-137707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmjones@health.southalabama.edu",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "USA Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6701 Airport Blvd Ste A101",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366086767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.