Brian Heath Daniel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-125160 Issued in AL

Practice address

301 Mariarden Rd
Suite D
Dadeville, AL 36853-6254

Phone

(256) 825-7871

Fax

(256) 825-5742

NPI assigned

Jul 12, 2016

Last updated

Jul 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Chilton Family Care, LLC

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1366857674
  Medicare reassignment NPD
• Ivy Creek Family Care of Lake Martin

  dba Ivy Creek Urgent Care

  • Urgent Care Clinic/Center
  • Dadeville, AL
  • NPI 1609572890
  Medicare reassignment NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Tallassee

  • Rural Health Clinic/Center
  • Tallassee, AL
  • NPI 1558868323
  Medicare reassignment NPD
• Ivy Creek of Tallapoosa LLC

  dba Lake Martin Family Medicine

  • Rural Health Clinic/Center
  • Dadeville, AL
  • NPI 1932130002
  Medicare reassignment NPD
• Wetumpka Urgent Care LLC

  • Urgent Care Clinic/Center
  • Wetumpka, AL
  • NPI 1194057554
  Medicare reassignment NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Wetumpka

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1508480633
  NPD
• Ivy Creek of Tallapoosa, LLC

  dba Reference Lab

  • Clinical Medical Laboratory
  • Dadeville, AL
  • NPI 1932783693
  NPD
• Ivycreek of Elmore LLC

  dba River Region Family Medicine

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1396066650
  NPD
• Ivy Creek of Tallapoosa LLC

  dba Lake Martin Home Health

  • Home Health Agency
  • Dadeville, AL
  • NPI 1225211709
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1912359100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "address_2": "SUITE D",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368536254",
            "telephone_number": "256-825-7871",
            "fax_number": "256-825-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "address_2": "SUITE D",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368536254",
            "telephone_number": "256-825-7871",
            "fax_number": "256-825-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "BRIAN",
        "middle_name": "HEATH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Cummings, PHARMD
• Dadeville Healthcare Center LLC
• Dadeville Pharmacy LLC (Lakeshore Pharmacy)
• Dadeville Pharmacy LLC (Lakeshore Discount Pharmacy)
• Dadeville RX, LLC
• Laura R Daniel, CRNP
• Sabrina Colley Davis, CRNP
• Tom Davis, LPC
• Jasmine Dowdell
• John Raymond Durant, MD

• Family Nurse Practitioner in Dadeville, AL
• Providers in Dadeville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.