Individual provider Active NPI

Danielle Tant, CRNP

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1992514590
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140982 Issued in AL
Practice address
4804 Highway 69 N
Northport, AL 35473-2035
Phone
(833) 633-5874
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140982 AL Primary

Addresses

Primary practice location

4804 Highway 69 N
Northport, AL 35473-2035

Mailing address

4804 Highway 69 N
Northport, AL 35473-2035
Phone (833) 633-5874

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024001064 AL Practitioner - Nurse Practitioner 1456849017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegra Wellness of Tuscaloosa LLCGroup PAC ID 5597111872, 3 clinicians

Practice addresses (Care Compare)

4804 Hwy 69 N
Northport, AL 35473-2035
Phone (833) 633-5874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-140982ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegra Wellness of Tuscaloosa LLC CurrentSince Jul 4, 2025 Accepting new patients

Locations

4804 Highway 69 N
Northport, AL 35473
Phone (205) 330-7700

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1992514590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 HIGHWAY 69 N",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732035",
            "telephone_number": "833-633-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 HIGHWAY 69 N",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732035",
            "telephone_number": "833-633-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANT",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.