Individual provider Active NPI

Dena Bivin Yearwood, FNP

  • Family Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1619600103
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-083902 Issued in AL
Practice address
125 Alison Dr Ste 8
Alexander City, AL 35010-4410
Phone
(256) 409-2159
Fax
(256) 409-2178
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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 1-083902 AL Primary

Addresses

Primary practice location

125 Alison Dr Ste 8
Alexander City, AL 35010-4410

Mailing address

1026 Edgewater LN
Chelsea, AL 35043-2000
Phone (205) 915-8694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220804000517 AL Practitioner - Dermatology 3072995232
I20250415000543 AL Practitioner - Nurse Practitioner 3072995232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSD, LLCGroup PAC ID 2163821448, 8 clinicians

Practice addresses (Care Compare)

48 Medical Park Dr E
Suite 458
Birmingham, AL 35235-3473
Phone (205) 900-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-083902ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSD, LLC CurrentSince May 5, 2025 Accepting new patients
ENT Associates of Alabama, P.C. Past Accepting new patients

Locations

48 Medical Park Dr E
Ste 458
Birmingham, AL 35235
Phone (205) 838-1811

48 Medical Park Dr E
Ste 153
Birmingham, AL 35235
Phone (205) 402-8133

300 Medical Center Dr
Ste 402
Gadsden, AL 35903
Phone (256) 492-4585

1400 Highway Dr
#C
Oxford, AL 36203
Phone (205) 900-2000

423 23rd St N
Pell City, AL 35125
Phone (205) 212-3636

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": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1619600103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 EDGEWATER LN",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350432000",
            "telephone_number": "205-915-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALISON DR STE 8",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104410",
            "telephone_number": "256-409-2159",
            "fax_number": "256-409-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "DENA",
        "middle_name": "BIVIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-083902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.