Individual provider Active NPI

Nannette McDaniel, CRNP

  • Acute Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1841699535
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-094561 Issued in AL
Practice address
1725 Pine St
Montgomery, AL 36106-1109
Phone
(334) 293-8057
Fax
(334) 293-6756
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-094561 AL Primary
Adult Health Nurse Practitioner 363LA2200X 1-094561 AL
Gerontology Nurse Practitioner 363LG0600X 1-094561 AL

Addresses

Primary practice location

1725 Pine St
Montgomery, AL 36106-1109

Mailing address

1830 County Road 107
Prattville, AL 36066-6747
Phone (334) 391-4451

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
I20151106000680 AL Practitioner - Family Practice 1052621836 Reassigns benefits to 2 organizations
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-094561ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Wellness Centers, LLC CurrentSince Nov 1, 2021 Accepting new patients
Adams Family Practice PC CurrentSince Sep 23, 2015 Accepting new patients
First Choice Wellness Centers, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1323 Mulberry St
Ste B
Montgomery, AL 36106
Phone (334) 264-3434

2100 Chestnut St
Montgomery, AL 36106
Phone (334) 264-3434

7205 Copperfield Dr
Montgomery, AL 36117
Phone (334) 249-2577

600 Commons Dr
Ste 101A
Gallatin, TN 37066

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1841699535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 COUNTY ROAD 107",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666747",
            "telephone_number": "334-391-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061109",
            "telephone_number": "334-293-8057",
            "fax_number": "334-293-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "NANNETTE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-094561",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-094561",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-094561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.