NPIMap

Organization Active NPI

Community Care Solutions

  • Diabetes Educator Registered Nurse
  • Dothan, AL
National Provider Identifier
1891246195
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
1-054943 Issued in AL
Legal business name
COMMUNITY CARE SOLUTIONS
Practice address
1075 S Brannon Stand Rd
Dothan, AL 36305-7359
Phone
(334) 793-6843
Fax
(334) 671-3651
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Dana Eidson
Title
Executive Director
Phone
(334) 793-6843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD0400X 1-054943 AL Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1075 S Brannon Stand Rd
Dothan, AL 36305-7359

Mailing address

1075 S Brannon Stand Rd
Dothan, AL 36305-7359
Phone (334) 793-6843

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1891246195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S BRANNON STAND RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057359",
            "telephone_number": "334-793-6843",
            "fax_number": "334-671-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S BRANNON STAND RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057359",
            "telephone_number": "334-793-6843",
            "fax_number": "334-671-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-793-6843"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AL",
            "license": "1-054943",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.