MRS. BRENDA F COVINGTON CRNP NPI 1205043973

NPI Information

NPI: 1205043973
Provider Name: MRS. BRENDA F COVINGTON, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1108 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301
Phone: (334) 547-8416
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MRS. Brenda F Covington, CRNP is a family nurse practitioner in Dothan, AL with 20 years of experience. MRS. Brenda F Covington, CRNP NPI is 1205043973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1108 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301-022
Phone: (334) 547-8416

The NPI 1205043973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	33381068	MARYLAND	No
2	363LA2200X	Nurse Practitioner	Adult Health	33381068	MARYLAND	No
3	363LF0000X	Nurse Practitioner	Family	A003945	ARKANSAS	No
4	363LG0600X	Nurse Practitioner	Gerontology	33381068	MARYLAND	No
5	363LF0000X	Nurse Practitioner	Family	1-067319	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	128562	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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