Individual provider Active NPI

Sandra Michele Quinn, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1689173858
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-097557 Issued in AL
Practice address
2445 Murphy Mill Rd
Dothan, AL 36303-1595
Phone
(334) 677-6001
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 1-097557 AL Primary

Addresses

Primary practice location

2445 Murphy Mill Rd
Dothan, AL 36303-1595

Mailing address

101 Lighthouse Dr
Dothan, AL 36305-7307
Phone (334) 714-1053

Other practice location 1

606 Boll Weevil Circle
Suite A
Enterprise, AL 36333
Phone (334) 475-2462

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
I20181010000023 AL Practitioner - Nurse Practitioner 3072865674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLC 180 clinicians

Practice addresses (Care Compare)

606 Boll Weevil Cir
A
Enterprise, AL 36330-2734
Phone (334) 475-2462

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince May 22, 2018 Accepting new patients
Enterprise Urgent Care CurrentSince Nov 23, 2019 Accepting new patients
American Family Care, LLC CurrentSince May 22, 2018 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC Past Accepting new patients
Ivycreek of Elmore LLC Past Accepting new patients

Locations

1007 9th Ave N
Bessemer, AL 35020
Phone (205) 358-9300

2445 Murphy Mill Rd
Dothan, AL 36303
Phone (334) 564-8255

606 Boll Weevil Cir
#A
Enterprise, AL 36330
Phone (334) 475-2462

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Organizations & group practices 6

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1689173858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIGHTHOUSE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057307",
            "telephone_number": "334-714-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MURPHY MILL RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031595",
            "telephone_number": "334-677-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Boll Weevil Circle",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "36333",
            "country_code": "US",
            "telephone_number": "334-475-2462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "SANDRA",
        "middle_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.