The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mobile and Alabama

122 active clinicians are listed under Nurse Practitioner with a practice address in Mobile, AL (1,442 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mobile

0.8% of these 122 clinicians have the CMS telehealth indicator.

54.1% of these 122 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES AL 1-174428

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events

📍

Updated Practice Location April 10, 2026

Registered at 7121 CHARLESTON POINTE CT, MOBILE, AL 366952594 (Tel: 2513327858)

📍

Updated Business Mailing Address April 10, 2026

Registered at 7121 CHARLESTON POINTE CT, MOBILE, AL 366952594

👤

Provider Name / Credentials Updated April 10, 2026

Recorded as FARRAH WATERS, PMHNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2026

Nurse Practitioner (license number reported to NPPES: AL 1-174428)

✅

NPI Profile Active November 29, 2021

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) November 29, 2021

Registered at 5339 CIMARON CT, THEODORE, AL 365827325 (Tel: 2512939103)

📍

Business Mailing Address (Initial Record) November 29, 2021

Registered at 5339 CIMARON CT, THEODORE, AL 365827325 (Tel: 2512939103)

👤

Provider Name / Credentials (Initial Record) November 29, 2021

Recorded as FARRAH DENNIS, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2021

Registered Nurse (license number reported to NPPES: AL 1-174428)

🟢

Initial NPI Registration & Enumeration November 29, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104584960

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 29, 2021

Last Update: April 10, 2026

Sole Proprietor: No

Update or Correct Profile

Other Nurse Practitioners in Mobile

All Nurse Practitioners in Mobile

Mailing Address

7121 Charleston Pointe Ct

Mobile, AL 366952594

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.