Active NPI
Donna Conway
- Family Nurse Practitioner
- Brewton, AL
National Provider Identifier
1770145245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11003072
- Practice address
- 2134 Douglas Ave
Brewton, AL 36426-1155 - Phone
- (251) 236-4026
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 11003072 | FL | Primary |
Addresses
Primary practice location
2134 Douglas Ave
Brewton, AL 36426-1155
Mailing address
29995 Wayside Dr
Spanish Fort, AL 36527-5328
Phone (251) 284-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003072 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care for Children, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hixson, TN
- NPI 1205434420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1770145245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29995 WAYSIDE DR",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275328",
"telephone_number": "251-284-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2134 DOUGLAS AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364261155",
"telephone_number": "251-236-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11003072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewton, AL
- Brewton Medical Center, LLC
- C B McInnish, OD PA
- Andria P Caldwell, DDS
- Laura S Coleman
- Katrina Lynette Coley, MS, ALC
- Charles Daniel Cottrell, R.PH.
- D. W. McMillan Memorial Hospital
- D. W. McMillan Memorial Hospital
- D. W. McMillan Memorial Hospital (D. W. McMillan Home Health)
- D.W. McMillan Memorial Hospital (D W McMillan Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.