Dorothy Ellen Stidham, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1061751 Issued in AL

Practice address

1911 Military St S
Hamilton, AL 35570-6611

Phone

(205) 952-9603

Fax

(205) 952-9661

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Medical Clinic PCGroup PAC ID 9436051364, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Marion Regional Medical Center Hospital, Hamilton, AL, CCN 010044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Agape Medical Clinic PC

  • Family Nurse Practitioner
  • Hamilton, AL
  • NPI 1174643852

  AL, Family

  Medicare reassignment Care Compare group NPD Authorized official
• Watson Family Clinic

  • Family Nurse Practitioner
  • Hamilton, AL
  • NPI 1871488072

  Family

  NPD (past)

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

• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082

  Hospital

  Care Compare affiliation
• Mid-South Home Health, LLC

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1578664652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2282",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355702282",
            "telephone_number": "205-952-9603",
            "fax_number": "205-952-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355706611",
            "telephone_number": "205-952-9603",
            "fax_number": "205-952-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "DOROTHY",
        "middle_name": "ELLEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1061751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552982",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• Stephen Bolt Services LLC
• Stephen G Sanders
• Rebeccca Joann Stewart, CRNP-BC
• Mandy Dawn Stone, CRNP
• Britney B Sullins, CRNP
• Surgery Clinic of Tupelo PA
• Tonya R Tidwell, RN
• David Vogt, MA, LPC, NCC

• All providers in Hamilton, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.