STEPHANIE HEAD (NPI# 1790123776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790123776 |
| Entity Type | Individual |
| Full Name | STEPHANIE HEAD |
| Credential | CRNP |
| Practice Address |
210 Westside Drive Dothan AL 36303 |
| Mailing Address |
Po Box 6599 Dothan AL 36302-6599 |
| Practice Telephone | 3347935074 |
| Practice Fax Number | 3347936460 |
| Mailing Telephone | 3347935074 |
| Mailing Fax Number | 3347936460 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9361506 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
1-101091 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003173 | Stephanie Katherine Head | Social Worker | 309 W Jefferson St Ste B, Lagrange, KY 40031-1111 | 2006-11-24 |
| 1245459288 | Stephanie Ann Head | Pharmacist | 7117 N Prospect Ave, Gladstone, MO 64119-1123 | 2007-04-25 |
| Street Address |
210 WESTSIDE DRIVE |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1548630452 | Cliff Sloop Iv | Nurse Practitioner | 210 Westside Drive, Dothan, AL 36303 | 2015-10-05 |
| 1326444589 | Ashley M Pippin | Nurse Practitioner | 210 Westside Drive, Dothan, AL 36303 | 2014-11-14 |
| 1922370063 | Melinda Brannon Turner | Nurse Practitioner | 210 Westside Drive, Dothan, AL 36303 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| 1659452480 | Andrew J Carter Dds PC | Dentist | 206 Executive Park Drive, Dothan, AL 36303 | 2006-10-18 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801262993 | April Cobb | Clinical Nurse Specialist | 32 Roundtree Dr, Piedmont, AL 36272-5892 | 2015-08-12 |
| 1164811758 | Oakwood University Church Health Service | Clinical Nurse Specialist | 5500 Adventist Blvd Nw, Suite 103, Huntsville, AL 35896-0002 | 2015-01-20 |
| 1346672243 | Chelsie Noland Skinner | Clinical Nurse Specialist | 184 William E Hill Dr, Carrollton, AL 35447-0184 | 2013-08-01 |
| 1083991590 | Andrea G Bowden-evans | Clinical Nurse Specialist | 1325 Mcfarland Blvd Ste 206, Northport, AL 35476-3275 | 2011-11-11 |
| 1992992200 | Debra Harrison Balzli | Clinical Nurse Specialist | 3725 Mountain View Ln, Birmingham, AL 35223-2226 | 2007-10-01 |
| 1689869026 | Nancy Suzannah Barnette | Clinical Nurse Specialist | 7104 University Ct, Montgomery, AL 36117-8045 | 2007-09-10 |
| 1780126243 | Metta Smith | Clinical Nurse Specialist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2016-11-14 |
| 1821441957 | Bethany H Ransom | Clinical Nurse Specialist | 1925 W Main St, Suite 102, Centre, AL 35960-2812 | 2016-07-13 |
| 1720448897 | Riverside Pediatrics of Decatur LLP | Clinical Nurse Specialist | 1304 13th Ave Se Ste D, Decatur, AL 35601-4316 | 2016-03-02 |
| 1760853303 | Stephanie Nicole Haas | Clinical Nurse Specialist | 5720 1st Ave S, Birmingham, AL 35212-2522 | 2015-10-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.