Active NPI
Emily Defourneaux, CRNP
- Family Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-144863
- Practice address
- 44 Hughes Rd Ste 100
Madison, AL 35758-3045 - Phone
- (850) 233-3376
- Fax
- (850) 522-8354
- NPI assigned
- Dec 16, 2018
- 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 | 1-144863 | AL | Primary |
Addresses
Primary practice location
44 Hughes Rd Ste 100
Madison, AL 35758-3045
Mailing address
2505 Harrison Ave
Panama City, FL 32405-4464
Phone (502) 333-3768
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8337 Hwy 72 W
Suite 301
Madison, AL 35758-9548
Phone (256) 772-1884
903 Chapman Creek Rd
Equality, AL 36026-4622
Phone (615) 274-9767
Hospital & facility affiliations
- Aveanna Home Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Dermatology Group PA | Current | Accepting new patients | |
| HH Physicians Network | Current | Accepting new patients | |
| Iris Medical Group | Family | Current | Accepting new patients |
Locations
106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376
201B Longwood Dr SE
Huntsville, AL 35801
Phone (256) 539-6473
401 Lowell Dr SE
Ste 12
Huntsville, AL 35801
Phone (256) 265-6851
1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951
8337 Highway 72 W
Ste 301
Madison, AL 35758
Phone (256) 772-1884
44 Hughes Rd
Ste 1100
Madison, AL 35758
Phone (256) 464-8200
2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027
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 and National Provider Directory roles.
-
- Specialist
- Huntsville, AL
- NPI 1891359683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Huntsville, AL
- NPI 1992230601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1841761814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054464",
"telephone_number": "502-333-3768",
"fax_number": "850-522-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 HUGHES RD STE 100",
"city": "MADISON",
"state": "AL",
"postal_code": "357583045",
"telephone_number": "850-233-3376",
"fax_number": "850-522-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFOURNEAUX",
"first_name": "EMILY",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-144863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.