Individual provider Active NPI

Kerianne Mitchell Donham, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1700533882
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-62639 Issued in AL
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

Updated by the provider on Mar 5, 2023

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 1-62639 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-62639ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Physician Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Quick Care Urgent, LLC CurrentSince Aug 8, 2022 Accepting new patients
QC Wellness, LLC Current Accepting new patients
Quickcare RX LLC PastSince Aug 8, 2022 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

  • Direct secure messaging: kerianne.donham.1@3038.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.