Active NPI
Sandra Michele Quinn, CRNP
- Family Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-097557
- 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
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 | 1-097557 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| Enterprise Urgent Care | Current | Accepting new patients | |
| American Family Care, LLC | Current | 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.
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
- Primary Care Clinic/Center
- Oxford, AL
- NPI 1700326022
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1861645798
-
- Rural Health Clinic/Center
- Wetumpka, AL
- NPI 1396066650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.