Organization Active NPI

Edwfnp LLC

Doing business as Druid City Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1871234237
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EDWFNP LLC
Doing business as
Druid City Wellness Center
Practice address
661 Helen Keller Blvd
Tuscaloosa, AL 35404-2963
Phone
(205) 301-0769
Fax
(205) 891-8143
NPI assigned
Apr 7, 2022
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Rachel Durrough
Title
Billing Department
Phone
(205) 887-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

661 Helen Keller Blvd
Tuscaloosa, AL 35404-2963

Mailing address

661 Helen Keller Blvd
Tuscaloosa, AL 35404-2963
Phone (205) 301-0769

Other identifiers 2

IdentifierTypeStateIssuer
1-090748OtherALALABAMA BOARD OF NURSING REGISTERED NURSE (RN) LICENSE NUMBER
1-090748OtherALALABAMA BOARD OF NURSING CERTIFIED REGISTERED NURSE PRACTITIONER (CRNP) LICENSE

Other names 1

  • Druid City Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL spruce.care/druidcitypsych.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912000427 AL Part B Supplier - Clinic/Group Practice 9537662846 Receives reassigned benefits from 1 practitioner
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

661 Helen Keller Blvd
Tuscaloosa, AL 35404
Phone (205) 301-0769

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1871234237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042963",
            "telephone_number": "205-301-0769",
            "fax_number": "205-891-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042963",
            "telephone_number": "205-301-0769",
            "fax_number": "205-891-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWFNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DURROUGH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "205-887-0624"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING REGISTERED NURSE (RN) LICENSE NUMBER",
            "identifier": "1-090748",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING CERTIFIED REGISTERED NURSE PRACTITIONER (CRNP) LICENSE",
            "identifier": "1-090748",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "spruce.care/druidcitypsych.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant, secure messaging portal via Spruce Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "653 Helen Keller Blvd",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354042983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Druid City Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.