Viviam Frade Dante, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-126099 Issued in AL

Practice address

102 Physicians Dr Ste a
Muscle Shoals, AL 35661-2149

Phone

(256) 286-4026

Fax

(256) 381-4783

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Certified Registered Nurse, 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 and National Provider Directory roles.

• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452
  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1598181349
  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  AL

  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Towson, MD
  • NPI 1699280511
  NPD
• Genesis Elder Care Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Warwick, RI
  • NPI 1194774943
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1952988495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W DEARBORN AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612911",
            "telephone_number": "256-394-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PHYSICIANS DR STE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612149",
            "telephone_number": "256-286-4026",
            "fax_number": "256-381-4783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 W Dearborn Ave",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612911",
            "country_code": "US",
            "telephone_number": "125-639-4727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTE",
        "first_name": "VIVIAM",
        "middle_name": "FRADE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-126099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267489",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Thomas Countiss Jr., R.PH.
• Jason Cowan, D.O.
• Ashley Crosby
• Barbara Cummings
• D & M Group Home
• Brooke Darby
• Latoya Darby
• Brian Anthony Davenport, CRNP
• Hayley Jean Davenport, CRNP
• Claudette M Davis, CRNP

• Nurse Practitioner in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.