MS. MARY ELIZABETH OWEN (NPI# 1063705085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063705085 |
| Entity Type | Individual |
| Full Name | MS. MARY ELIZABETH OWEN |
| Credential | RN,IBCLC |
| Practice Address |
1725 Pine St Jackson Hospital (4 West-lactation Office) Montgomery AL 36106-1109 |
| Practice Telephone | 3342938000 |
| Mailing Telephone | 3342938000 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
IBCLC #108-12747 | AL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BOARD OF NURSING-RN LICENSE | 1-028903 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396951224 | Mary Owen | Marriage & Family Therapist | 6536 Telegraph Ave Ste 201c, Oakland, CA 94609-1172 | 2007-05-15 |
| 1770592321 | Mary C. Owen | Nurse Practitioner | 350 Parnassus Ave Ste 908 Msc Center, San Francisco, CA 94117-3612 | 2006-08-05 |
| 1366073835 | Mary Owen | Social Worker | 1140 N Mclean Blvd Ste 1, Elgin, IL 60123-1782 | 2020-02-03 |
| 1295243616 | Mary J Owen | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2018-01-19 |
| 1891140372 | Mary Owen | Counselor | 501 Bishop Ln N, Mobile, AL 36608-5821 | 2016-05-03 |
| 1184010738 | Mary Owen | Audiologist | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-10 |
| 1295073799 | Mary Owen | Registered Nurse | 3909 Orange Pl, Beachwood, OH 44122-4478 | 2013-01-18 |
| 1346524311 | Mary E Owen | Registered Nurse | One Raider Lane, Horsheads, NY 14845 | 2011-10-07 |
| 1013246511 | Mary Carol Owen | Social Worker | 8136 Old Keene Mill Rd, Suite 209-a, Springfield, VA 22152-1850 | 2009-12-11 |
| 1477717288 | Mary R Owen | Genetic Counselor, MS | 3850 S National Ave, Hulston Cancer Center, Suite 120, Springfield, MO 65807-5287 | 2008-07-11 |
| Street Address |
1725 PINE ST JACKSON HOSPITAL (4 WEST-LACTATION OFFICE) |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267339 | Noland Hospital Montgomery II, LLC | Long Term Care Hospital | 1725 Pine St, 6th Floor, North Wing, Montgomery, AL 36106-1109 | 2005-07-07 |
| 1861016909 | Joshua Hunter Pybus | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2020-06-04 |
| 1063033157 | Kelly Diane Slaten | Pharmacist | 1725 Pine St, Montgomery, AL 36106-1117 | 2020-04-30 |
| 1215572888 | Integrated Care-alabama LLC | Emergency Medicine | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-11-07 |
| 1699336644 | Jasmine Necole Abebe | Registered Nurse | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-06-20 |
| 1619530326 | Ashley Tippins | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-3610 | 2019-04-18 |
| 1821550781 | Sharonica Rena Frazier | Registered Nurse | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-04-01 |
| 1497229538 | Michelle L Roll | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-01-11 |
| 1275033441 | Sarah Lauren Monson | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2018-02-14 |
| 1013424159 | Brenda Simyiu | Pharmacist | 1725 Pine St, Montgomery, AL 36106-1109 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821516030 | Jaylene M Rosales | Registered Nurse | 122 Pine Crest Cir, Montgomery, TX 77316-1471 | 2017-09-07 |
| 1710426606 | Cher Nancy Sealy | Registered Nurse | 111 Watson Cir, Montgomery, AL 36109-4121 | 2017-02-13 |
| 1437569548 | Heather Hasara | Registered Nurse | 12633 Dover Dr, Montgomery, TX 77356-8163 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437361 | Gulf Coast Lactation | Registered Nurse | 368 Commercial Park Dr, Fairhope, AL 36532-1910 | 2020-02-03 |
| 1063055663 | Kayla Wilson | Registered Nurse | 128 Deer Run Ln, Harvest, AL 35749-9402 | 2019-10-26 |
| 1184118697 | Sarah Phillips Willis | Registered Nurse | 109 Hickory Trail Dr, Harvest, AL 35749-7908 | 2018-06-18 |
| 1750871778 | Heidi Henderson Powell | Registered Nurse | 8298 Wade Rd, Warrior, AL 35180-3016 | 2018-05-15 |
| 1780073007 | Megan Epperson | Registered Nurse | 735 Cane Creek Ln, Sylacauga, AL 35151-5955 | 2015-01-12 |
| 1639519515 | Marsha Malena Bearden | Registered Nurse | 14924 Al Highway 68, Crossville, AL 35962-3404 | 2013-06-25 |
| 1285266288 | Ellen Scott Thomson | Registered Nurse | 368 Commercial Park Dr, Fairhope, AL 36532-1910 | 2020-02-07 |
| 1245872589 | Kristyn Nicole Junkin | Registered Nurse | 1060 Fairfax Park Ste C, Tuscaloosa, AL 35406-2837 | 2019-10-08 |
| 1487202917 | Jerri Lynn Carlisle | Registered Nurse | 1060 Fairfax Park Ste C, Tuscaloosa, AL 35406-2837 | 2019-08-28 |
| 1063928182 | Beit Birth LLC | Registered Nurse | 4001 Yucca Dr S, Theodore, AL 36582-9704 | 2017-12-27 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.