Active NPI
Virginia McDaniel, CRNP
- Family Nurse Practitioner
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-150182
- Practice address
- 1722 Pine St
Montgomery, AL 36106-1103 - Phone
- (334) 293-8588
- NPI assigned
- Jun 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-150182 | AL | Primary |
Addresses
Primary practice location
1722 Pine St
Montgomery, AL 36106-1103
Mailing address
912 Will Logan Rd
Ozark, AL 36360-5188
Phone (850) 209-1014
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
Enrollment records 1
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
Practice addresses (Care Compare)
1812 E Main St
Dothan, AL 36301-3000
Phone (334) 793-6573
Hospital & facility affiliations
- Amedisys Home Health
- Southeast Health Medical Center
- Medical Center Enterprise
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current | Accepting new patients | |
| Southeast Alabama Medical Center Employee Pharmacy | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573
1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
1722 Pine St
Montgomery, AL 36106
Phone (334) 288-1916
1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1073264107
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
- Urology Physician
- Montgomery, AL
- NPI 1760770754
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
-
- Pharmacy
- Dothan, AL
- NPI 1053526368
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dothan, AL
- NPI 1871503532
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560038400000",
"number": "1609435155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 WILL LOGAN RD",
"city": "OZARK",
"state": "AL",
"postal_code": "363605188",
"telephone_number": "850-209-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 PINE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061103",
"telephone_number": "334-293-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "VIRGINIA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-09",
"last_updated": "2019-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-150182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.