Active NPI
Kerianne Mitchell Donham, CRNP
- Family Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-62639
- Practice address
- 2139 Winchester Rd NE Ste C
Huntsville, AL 35811-9804 - Phone
- (256) 489-9015
- Fax
- (256) 489-9023
- NPI assigned
- Mar 8, 2022
- 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 | 1-62639 | AL | Primary |
Addresses
Primary practice location
2139 Winchester Rd NE Ste C
Huntsville, AL 35811-9804
Mailing address
7900 Farm Meadow Dr SE
Owens Cross Roads, AL 35763-7216
Phone (256) 694-3370
Other practice location 1
7900 Farm Meadow Dr SE
Owens Cross Roads, AL 35763-7216
Phone (256) 694-3370
Other practice location 2
11365 Highway 231 431 N Ste F
Meridianville, AL 35759-2151
Phone (256) 693-7070
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kerianne.donham.1@3038.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.45 of 100
- Quality
- 90.9
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-62639 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crestwood Physician Services, LLC | Current | Accepting new patients | |
| Quick Care Urgent, LLC | Current | Accepting new patients | |
| QC Wellness, LLC | Current | Accepting new patients | |
| Quickcare RX LLC | Past | Accepting new patients |
Locations
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317
2139 Winchester Rd NE
Ste C
Huntsville, AL 35811
Phone (256) 489-9015
11365 Highway 231 431 N
Ste F
Meridianville, AL 35759
Phone (256) 693-7070
Interoperability endpoints
- kerianne.donham.1@3038.direct.athenahealth.com
- https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
Organizations & group practices 4
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
- Huntsville, AL
- NPI 1154622520
-
- Urgent Care Clinic/Center
- Madison, AL
- NPI 1194274472
-
- Urgent Care Clinic/Center
- Huntsville, AL
- NPI 1356764070
-
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1326460874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1700533882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 FARM MEADOW DR SE",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357637216",
"telephone_number": "256-694-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 WINCHESTER RD NE STE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358119804",
"telephone_number": "256-489-9015",
"fax_number": "256-489-9023"
}
],
"practiceLocations": [
{
"address_1": "7900 Farm Meadow Dr SE",
"address_purpose": "LOCATION",
"city": "Owens Cross Roads",
"state": "AL",
"postal_code": "357637216",
"country_code": "US",
"telephone_number": "256-694-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11365 Highway 231 431 N Ste F",
"address_purpose": "LOCATION",
"city": "Meridianville",
"state": "AL",
"postal_code": "357592151",
"country_code": "US",
"telephone_number": "256-693-7070",
"fax_number": "256-693-7064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONHAM",
"first_name": "KERIANNE",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-62639",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kerianne.donham.1@3038.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR DIRECT ADDRESS",
"address_1": "2139 Winchester Rd NE Ste C",
"city": "Huntsville",
"state": "AL",
"country_code": "US",
"postal_code": "358119804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.