LAWANDA S FANTROY (NPI# 1093272874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093272874 |
| Entity Type | Individual |
| Full Name | LAWANDA S FANTROY |
| Practice Address |
1700 Spring Hill Ave Ste 100 Mobile AL 36604-1416 |
| Mailing Address |
4361 Terrace Dr Moss Point MS 39563-5635 |
| Practice Telephone | 2514351200 |
| Mailing Telephone | 2282356015 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-122621 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 SPRING HILL AVE STE 100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132556 | Mina Ayad Jacob | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2006-05-19 |
| 1841821147 | Eleanor Katharine Wilkinson | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2020-01-27 |
| 1356981930 | Samantha Payton Baxter | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2020-01-10 |
| 1437674397 | Karras Radonna Hunt | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2017-08-11 |
| 1598122715 | Meredith Kronn Veazey | Physician Assistant | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2016-01-19 |
| 1912370818 | Elizabeth Watson | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2015-11-02 |
| 1235570375 | Chibuzo Clement Odigwe | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-07-16 |
| 1003255993 | Jose Nahun Galeas Soriano | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-06-24 |
| 1396032983 | Walter Lee Beard Jr. | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2011-07-01 |
| 1952696247 | Jessica Kaur Bhathal | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1528327517 | Shera Annette Butt | Nurse Practitioner | 2060 Autumn Leaf Dr W, Mobile, AL 36695-8494 | 2012-05-10 |
| 1780975680 | Ashley Monique Flanagan | Nurse Practitioner | 11 N Water St Fl 10, Mobile, AL 36602-5010 | 2011-04-26 |
| 1487672465 | Tammy Lynn Pugh | Nurse Practitioner | 3 Mobile Infirmary Cir Ste 305, Building B, Suite 118, Mobile, AL 36607-3515 | 2006-07-17 |
| 1821642372 | Kathryn S Coletta | Nurse Practitioner | 100 Memorial Hospital Dr Ste 2a, Mobile, AL 36608-1199 | 2019-08-01 |
| 1083267967 | Mary Pearce Benfield | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2019-07-19 |
| 1447724935 | Jennifer Hansmann Umbarger | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-01-17 |
| 1750863726 | Amy Rebecca Odom | Nurse Practitioner | 100 Memorial Hospital Dr Ste 1a, Mobile, AL 36608-1128 | 2018-09-05 |
| 1750869913 | Karli D Todd | Nurse Practitioner | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2018-07-31 |
| Find all providers in MOBILE | ||||
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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.