MRS. KARA ELLIOTT BOUTWELL (NPI# 1275941601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275941601 |
Entity Type | Individual |
Full Name | MRS. KARA ELLIOTT BOUTWELL |
Credential | CRNP |
Practice Address |
3 Mobile Infirmary Cir Suite 302b Mobile AL 36607-3520 |
Practice Telephone | 2516075400 |
Mailing Telephone | 2516075400 |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1073518 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3 MOBILE INFIRMARY CIR SUITE 302B |
City | MOBILE |
State | AL |
Zip Code | 36607-3520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558364802 | Mobile Infirmary Association | General Acute Care Hospital | 3 Mobile Infirmary Cir, Mobile, AL 36607-3520 | 2005-05-31 |
1205480183 | Claudia Fantucci | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607 | 2019-07-29 |
1235653742 | Jessica Danielle Gates | Nurse Practitioner | 3 Mobile Infirmary Cir, Mobile, AL 36607-3520 | 2017-07-27 |
1578934899 | Joel Andrew James Miller | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 308, Mobile, AL 36607-3520 | 2015-10-13 |
1104261973 | Jennifer Nicole Saizan | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 410, Mobile, AL 36607-3520 | 2013-05-06 |
1780939793 | Enoch M Toler | Obstetrics & Gynecology | 3 Mobile Infirmary Cir, Suite 303, Mobile, AL 36607-3520 | 2012-07-16 |
1881987014 | Barry Dale Ballard Jr. | Surgery | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607-3520 | 2011-05-20 |
1063714012 | Imc-cancer Surgery of Mobile, LLC | Surgery | 3 Mobile Infirmary Cir, Suite 305, Mobile, AL 36607-3520 | 2010-11-24 |
1982922167 | Jill Loftin Hawkins | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607-3520 | 2010-05-12 |
1710118666 | Rachael Jones Rutledge | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607-3520 | 2009-07-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
Find all providers in zip 36607 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083222145 | Robert Adam Vickrey | Nurse Practitioner | 1718 Hunters Ridge Dr W, Mobile, AL 36695-9246 | 2020-07-15 |
1588286850 | Brandie Nicole Banks | Nurse Practitioner | 320 Stanton Rd Apt 1517, Mobile, AL 36617-2481 | 2020-05-10 |
1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
1679118525 | Hicks Home-based Primary Care, LLC | Nurse Practitioner | 1111 E I65 Service Rd S Ste 210, Mobile, AL 36606-3123 | 2019-11-14 |
1417504325 | Jamie Kathryn Turner | Nurse Practitioner | 13080 Oak Forge Dr, Mobile, AL 36608-8782 | 2019-08-25 |
1780142653 | Melissa Snow Bryan | Nurse Practitioner | 4937 Langham Pl, Mobile, AL 36619-5201 | 2019-03-08 |
1508322231 | Akiko Ishida Makino | Nurse Practitioner | 75 S University Blvd # 6000a, Mobile, AL 36608-3042 | 2019-02-19 |
1932674975 | Justin Blake Stokes | Nurse Practitioner | 2050 Michigan Ave., Mobile, AL 36615 | 2018-10-05 |
1821590647 | Charleen Jackson | Nurse Practitioner | 2423 Schillinger Rd S Ste 103, Mobile, AL 36695-4142 | 2018-03-07 |
1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
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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.