DAUPHIN ISLAND MEDICAL LLC
NPI 1306602065
Nurse Practitioner - Primary Care in Dauphin Island, AL

NPI Status: Active since February 21, 2024

Contact Information

1008 ALABAMA AVE
DAUPHIN ISLAND, AL
ZIP 36528
Phone: (251) 313-2115
Fax: (251) 313-2102

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 01D2304228
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-08-2026

About DAUPHIN ISLAND MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Dauphin Island Medical Llc, a provider established in Dauphin Island, Alabama operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1306602065 assigned on February 2024. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Tessie Lee O'quinn Crnp (Owner/provider)

NPI
1306602065
Provider Name
DAUPHIN ISLAND MEDICAL LLC
Entity Type
Organization
Location Address
1008 ALABAMA AVE DAUPHIN ISLAND, AL 36528
Location Phone
(251) 313-2115
Location Fax
(251) 313-2102
Mailing Address
1005 MONBERAUT PL DAUPHIN ISLAND, AL 36528
Mailing Phone
(843) 425-4818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2024
Last Update Date
02-21-2024
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A nurse practitioner (NP) like Dauphin Island Medical Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TESSIE LEE O'QUINN CRNP

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(843) 425-4818

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2304228
Facility Type
Community Clinic
Certificate Effective Date
May 09, 2024
Certificate Expiration Date
May 08, 2026
Laboratory Director
MS. TESSIE L. O QUINN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dauphin Island Medical Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DAUPHIN ISLAND MEDICAL LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306602065
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061204012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 2 + 0 + 4 + 0 + 1 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1306602065 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114639770DAUPHIN ISLAND MEDICAL GROUP LLC
Organization
Clinic/Center (Primary Care)1008 ALABAMA AVE
DAUPHIN ISLAND, AL 36528
(843) 424-4818

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306602065, enumerated in the NPI registry as an "organization" on February 21, 2024

The provider is located at 1008 Alabama Ave Dauphin Island, Al 36528 and the phone number is (251) 313-2115

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

The provider's CLIA number is 01D2304228 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 21, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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