STACEE BYRD BERTOLLA (NPI# 1326545575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326545575 |
Entity Type | Individual |
Full Name | STACEE BYRD BERTOLLA |
Credential | CRNP |
Practice Address |
1700 Center St Mobile AL 36604-3301 |
Mailing Address |
16513 County Road 68 Loxley AL 36551-3219 |
Practice Telephone | 2514151144 |
Mailing Telephone | 2512280080 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-063545 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1700 CENTER ST |
City | MOBILE |
State | AL |
Zip Code | 36604-3301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285699983 | Margaret E. Ishee | Nurse Anesthetist, Certified Registered | 1700 Center St, Mobile, AL 36604-2457 | 2006-04-18 |
1861007262 | Charlotte Annette Moss | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-09-11 |
1255942413 | Aayushka Gurung | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-12 |
1407466600 | Abdul Kader Saifuddin Surti | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-03 |
1376153601 | Seemal Iftikhar | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-02 |
1407464415 | Khushboo Golani | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-07-15 |
1336757350 | Sabeeha Naazneen Shaik | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-07-15 |
1336760636 | Claudia Reed | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-04-28 |
1154952547 | Lauren D Morgan | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-02-04 |
1396375879 | Austin Lee Williams | Nurse Anesthetist, Certified Registered | 1700 Center St, Mobile, AL 36604-3301 | 2020-01-23 |
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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 | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629531181 | Holley Lewis Collins | Nurse Practitioner | 1601 Center St Ste 1a, Mobile, AL 36604-1541 | 2019-04-11 |
1164927521 | Danielle Madison Williams | Nurse Practitioner | 32 Tacon St Ste A, Mobile, AL 36607-3138 | 2018-03-28 |
1861007262 | Charlotte Annette Moss | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-09-11 |
1427669449 | Janelle N Davis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2020-08-13 |
1902383383 | Caitlin Elizabeth Skipper | Nurse Practitioner | 1700 Center St, Mobile, AL 36604 | 2018-07-27 |
1932685757 | Gretchen Joy Dempsey | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2018-07-15 |
1730699513 | Tricia Kenny Huey | Nurse Practitioner | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2017-10-05 |
1841721578 | Sarah Patton | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2017-03-24 |
1457705709 | Rachel G Wiley | Nurse Practitioner | 32 Tacon St, Suite A, Mobile, AL 36607-3138 | 2016-04-22 |
1508227570 | Lindsey L Parrish | Nurse Practitioner | 1601 Center St, Ste 1n, Mobile, AL 36604-1512 | 2016-03-17 |
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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.