Individual provider Active NPI

Dakota Elizebeth Thiele, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1760195358
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140421 Issued in AL
Practice address
9238 Madison Blvd Ste 114
Madison, AL 35758-9112
Phone
(256) 536-9020
Fax
(256) 536-9053
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 1-140421 AL Primary

Addresses

Primary practice location

9238 Madison Blvd Ste 114
Madison, AL 35758-9112

Mailing address

PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224

Other practice location 1

825 Adams St SE
Huntsville, AL 35801-3709
Phone (256) 536-9020

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
I20230407000565 AL Practitioner - Nurse Practitioner 2163897000 Reassigns benefits to 7 organizations

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
Emergency Physicians GroupGroup PAC ID 5496669350, 47 clinicians
Decatur Morgan Emergency MedicineGroup PAC ID 0446680862, 24 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9889

1201 7TH St NE
Decatur, AL 35601-3337
Phone (256) 973-2000

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-140421ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hospital Medicine PC CurrentSince Aug 3, 2024 Accepting new patients
Dermaccel Nurse Practitioner CurrentSince Dec 15, 2023 Accepting new patients
Decatur Morgan Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Aug 3, 2024 Accepting new patients
Alabama Mso LLC CurrentSince May 16, 2025 Accepting new patients
Emergency Physicians Group CurrentSince Feb 1, 2023 Accepting new patients
Medical Director Services PC CurrentSince Mar 20, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Oct 15, 2023 Accepting new patients
Russellville Hospital Inc CurrentSince Oct 15, 2023 Accepting new patients
Russellville Hospital Inc Past Accepting new patients
Dermaccel PastSince Aug 17, 2025 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

401 Arnold St NE
Cullman, AL 35055
Phone (256) 739-4409

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

119 Watterson Pkwy
Trussville, AL 35173
Phone (205) 655-3226

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1760195358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD STE 114",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589112",
            "telephone_number": "256-536-9020",
            "fax_number": "256-536-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Adams St SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013709",
            "country_code": "US",
            "telephone_number": "256-536-9020",
            "fax_number": "256-536-9053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELE",
        "first_name": "DAKOTA",
        "middle_name": "ELIZEBETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.